2015 Annual Report - Henry Ford Health System
Transcription
2015 Annual Report - Henry Ford Health System
2015 Research Annual Report Table of Contents SUMMARIES OF 2015 NATIONAL INSTITUTES OF HEALTH GRANTS AWARDED TO HFHS PART I - INTERNAL MEDICINE DEPARTMENT ALLERGY AND IMMUNOLOGY .................................................................................. 1 CARDIOLOGY/CARDIOVASCULAR RESEARCH ........................................................... 1 ENDOCRINOLOGY AND METABOLISM ....................................................................... 2 HYPERTENSION AND VASCULAR RESEARCH ............................................................ 3 SLEEP MEDICINE .................................................................................................. 6 PART II - ALL OTHER CLINICAL DEPARTMENTS DERMATOLOGY .................................................................................................... 8 IMAGING RESEARCH PROGRAM.............................................................................. 9 NEUROLOGY ...................................................................................................... 10 RADIATION ONCOLOGY ....................................................................................... 17 UROLOGY .......................................................................................................... 18 PART III – POPULATION SCIENCES CENTER FOR HEALTH POLICY AND HEALTH SERVICES RESEARCH ........................... 19 DEPARTMENT OF PUBLIC HEALTH SCIENCES ......................................................... 21 PUBLICATIONS ADMINISTRATION……………………………………………………………….…….....………30 ALLERGY AND IMMUNOLOGY…………………………………………………….………...30 ANESTHESIOLOGY………………………………………………………………………….32 BEHAVIORAL HEALTH SERVICES……………………………………………………….….32 BIORESOURCES........................................................................................................ 34 CARDIOLOGY/CARDIOVASCULAR RESEARCH…………………………………..……….…34 CENTER FOR HEALTH POLICY AND HEALTH SERVICES RESEARCH………………………51 COMMUNITY CARE SERVICES………………………………………….…………………..56 DERMATOLOGY………………………………………………….…………………….… 56 DIAGNOSTIC RADIOLOGY…………………………………………………………………...64 DIALYSIS ADMINISTRATION…………………………………………………….…………..66 EMERGENCY MEDICINE……………………………………………………..…………..….66 ENDOCRINOLOGY…………………………………………………………………...……...72 FAMILY MEDICINE……………………………………………………………………..……73 GASTROENTEROLOGY…………………………………………………………………..….74 GENETICS………………………………………………………………………...……...……...85 GLOBAL HEALTH INITIATIVE……………………………………………..…………………85 GRADUATE MEDICAL EDUCATION………………………………………………………….86 HEMATOLOGY, ONCOLOGY AND THE JOSEPHINE FORD CANCER INSTITUTE….…….....….86 HEMOPHILIA AND THROMBOSIS TREATMENT CENTER…………………………....……….91 HOME HEALTH CARE……………………………………………………………….………91 HYPERTENSION AND VASCULAR RESEARCH………………………………………………92 INFECTIOUS DISEASES…………………………………………………...……………..….93 INTERNAL MEDICINE………………………………………………...………………...…...96 NEPHROLOGY……………………………………………………….…….………………108 NEUROLOGY………………………………………………………………….…………....112 NEUROSURGERY…………………………………………………………….………….....121 NURSING……………………………………………………………………………….………129 OBSTETRICS, GYNECOLOGY AND W OMEN’S HEALTH SERVICES…………………….…..129 OPTHALMOLOGY AND EYE CARE SERVICES………………………………………….…..133 ORTHOPAEDICS…………………………………………………………………………...133 OTOLARYNOLOGY…………………………………………………………………………136 PATHOLOGY……………………………………………………………………………….140 PEDIATRIC MEDICINE……………………………………………...………………………147 PHARMACY………………………………………………………………………...………147 PSYCHOLOGY… ..................................................................................................... 149 PUBLIC HEALTH SCIENCES………………………………………………………………..149 PULMONARY……………………………………………………………………………….167 RADIATION ONCOLOGY……………………………………………………………………171 RADIOLOGY………………………………………………………………………………..182 RESEARCH ADMINISTRATION…………………………………………...…………………187 RHEUMATOLOGY…………………………………………………………………………..188 SLEEP MEDICINE…………………………………………………..………………………189 SPORTS MEDICINE………………………………………………………..……………….193 SURGERY……………………………………………………...…………………………..193 UROLOGY……………………………………………………………...…………………..202 Summaries of 2015 National Institutes of Health Grants Awarded to HFHS Part I –Department of Internal Medicine • • • • • Allergy and Immunology Cardiology/Cardiovascular Research Endocrinology and Metabolism Hypertension and Vascular Research Sleep Medicine Allergy and Immunology Principal Investigator: Edward Zoratti, M.D. Pets and the Infant Microbiome: Effect on Immune Maturation & Atopic Asthma– Project 2 (NIH P01A1089473-01A1) The Program Project Grant (PPG) application seeks an increased understanding of the relationships between dog or cat exposure during infancy and a lower risk of allergic asthma. We believe that this protective association is related to different patterns of microbial stimulation during immune development. Four synergistic Projects will examine our hypothesis that the presence of pets in a home results in a more diverse bacterial community composition (BCC) of the dust in the home which in turn influences the development of the gut BCC of a newborn infant living in the home. A more diverse gut BCC shifts the maturation of the infant's immune system such that later immune responses are less likely to produce IgE antibody responses and allergic asthma. Project 2 will recruit a new birth cohort of children either living with or without a dog, measure infant stool BCC, and follow the cohort with detailed studies of immune function until 18 months of age to determine the impact of dog exposure on immune maturation. The Projects are supported by five Cores which each provide essential services to all four Projects. Cardiology/CardiovascularResearch Principal Investigator: David Lanfear,M.D. Impact of Race and Genetic Factors on Beta-Blocker Effectiveness in Heart Failure (NIH 1R01HL103871-03) Heart failure (HF) is an enormous public health problem with over 500,000 cases annually, and African American individuals share a disproportionate amount of this burden including a higher prevalence and mortality when compared with white individuals. Beta adrenergic antagonists (beta-blockers, BB) are the foundation of modern HF care, but their effectiveness in African Americans is not clear. Pivotal clinical trials of BB in HF were woefully underpowered to assess African American patients, and many experts have suggested a differential BB benefit in African American patients when compared with white patients. 1 This issue requires additional data and clarity because improved understanding and elimination of such disparities is a national research priority (Healthy People 2010). Multiple factors may contribute to a racial disparity in BB effect such as genetic factors, medication adherence, and comorbid illnesses. All of these factors must be characterized in detail in order to evaluate which factor(s) contribute to this. Existing pharmacogenetic studies have suggested that specific variants may explain racial differences in BB effectiveness, but these studies have not quantified drug exposure or adherence and have not included a sufficient number of African Americans. In order to answer these questions, we propose a racially diverse, prospective, pharmacogenomic registry of 1000 HF patients. Our center has important advantages to achieve this including the fact that roughly half of our HF patients are African American, and we have experience and infrastructure in quantifying adherence and drug exposure using pharmacy claims data. Using this cohort we will assess the influence of race and genetic factors on BB effectiveness, measured by clinical events (time to hospitalization or death) and health status. Ultimately these data will clarify the benefit of BB in African Americans, and contribute to improved targeting of BB therapy to those with highest likelihood of favorable response while avoiding those likely to respond unfavorably. Public Health Relevance: Heart failure is an enormous public health problem and African American individuals share a disproportionate amount of this burden including a higher prevalence and mortality when compared with white individuals. Beta blockers are the foundation of modern heart failure care, but their effectiveness in African American individuals is not clear. This project seeks to clarify whether beta blockers are equally effective in African American patients when compared with white patients and identify the underlying factors that impact this difference, particularly genetic factors. Endocrinology and Metabolism Principal Investigator: D. Sudhaker Rao, M.D. Pathogenesis of Atypical Femaur Fractures on Long Term Bisphosphonate Therapy (NIH 1R01AR062103-01A1) Bisphosphonates (BP) have been used successfully for over a decade to prevent and treat osteoporosis and reduce osteoporotic fractures. However, since 2005 there have been many reports of atypical femoral fractures (AFF) in patients on prolonged BP therapy. Recently, it has been found that a prodromal bone deterioration (PBD) usually appears before the development to AFF. However, many PBDs may be asymptomatic, not necessarily progress to AFF, and heal spontaneously after discontinuation of BP therapy. Therefore, the prevalence of PBD may be much higher than AFF. To date, there is no evidence to support this hypothesis. It has been reported that many patients with PBD and AFF have severely suppressed bone turnover (SSBT). However, since not all patients with PBD/AFF also have SSBT, factors other than SSBT might contribute to the development of PBD/AFF. Our preliminary study suggests that PBD/AFF may be associated with osteocyte death, bone hypermineralization, and microdamage accumulation which compromise bone mechanical properties. These facts collectively led us to formulate the hypothesis that BP treated patients 2 who develop SSBT and consequent increase in bone age, in conjunction with previous osteocyte deficiency, are predisposed to micropetrosis, accumulation of fatigue microdamage, PBD, and eventually to stress fracture manifested as AFF. To pursue this hypothesis we propose the following specific aims: Aim 1 is to determine the prevalence of PBD and AFF in 1,000 patients with postmenopausal osteoporosis, either treated with BP for more than 2 years (500 subjects), or never BP treated (500 subjects). X-rays of the femurs will be performed to systematically screen the patients for PBD/AFF. PBD can be defined as an Xray finding of focal cortical thickening associated with a fracture line at the lateral femoral cortex. Suspected PBD patients, whose x-ray does not show clear fracture line at focally thickened cortex, will be evaluated further using x-ray tomosynthesis, isotope bone scan or MRI. Aim 2 will determine the contribution of osteocyte deficit to PBD/AFF and SSBT in iliac bone biopsies obtained from long term BP treated patients. Degree of bone mineralization and bone nano-mechanical properties will also be assessed on these biopsies. Hypertension and Vascular Research Principal Investigator: Oscar A. Carretero, M.D. Project 1 and Project 3 Principal Investigator: Pamela Harding, Ph.D. Project 2 Autocoids in Hypertension: Pathogenesis and End Organ Damage (NIH 2P01HL028982-31A1) This PPG was started in September, 1982. The central theme is "the study of the role of vasoactive systems (autocrine, juxtacrine, paracrine and endocrine) in the regulation of renal function and blood pressure (BP) and mediation of end organ damage (EOD)". The general hypothesis to be tested is that there is a balance between systems that promote water and sodium retention, hypertension and EOD, including Angiotensin II (Ang II), prostanoids, reactive oxygen species and inflammation, and systems that antagonize these effects like Ac-SDKP, activation of the Ang II type 2 receptor (AT2), kinins, NO, PGE2/EP4, and the newly discovered cross-talk between the connecting tubule and the afferent arteriole (CTGF) which may participate in both natriuresis and renal damage. Alterations of this balance in favor of the former are responsible for retention of water and sodium and development of hypertension and EOD, while alterations of this balance in favor of the latter have therapeutic effects. We will use molecular, physiological, and pharmacological approaches' to study vasoactive systems at the subcellular, cellular, and isolated organ levels in hypertension in rats and various transgenic and gene knockout mice. We will mainly use Dahl salt-sensitive rats (Dahl SS) and Ang ll-induced hypertensive rats as models. In Project I, using Dahl SS rats, we will study whether N-acetyl-seryl-aspartyl-lysyl-proline protects against EOD by decreasing adaptive immunity. In Project II we will study whether expression of cyclooxygenase-2 and generation of PGE2 via the EP4 receptor protects against EOD in Ang ll-induced hypertension. In Project III, using Dahl SS rats, we will study whether CTGF causes glomerular damage via afferent arterole dilatation and increases in capillary glomerular pressure. In Project IV, using Dahl SS rats, we will study whether a decrease in the renal thick ascending limb AT2-signaling participates in the pathogenesis of hypertension. The Four Cores - Administrative (A), Analytical and Morphological (B), Mutant Mouse (C), and Biostatistics (D) - will support the scientific efforts of the investigators. This PPG provides integration of our efforts, collaboration, sharing of ideas 3 and expertise, thus accelerating acquisition of knowledge on the causes of hypertension and EOD. Project 4, which is subcontracted to Case Western Reserve University in Cleveland, and the 4 Cores are not described in the abstracts below. Principal Investigator: Oscar A. Carretero, M.D. Project 1: In hypertension, end organ damage (EOD) is due in part to the mechanical forces exerted by high blood pressure (BP); however, other mechanisms such as inflammation, oxidative stress, the RAS, and genetic predisposition, all play key roles in its pathogenesis. In hypertension, Acetyl-Ser-Asp-Lys-Pro (Ac-SDKP), a naturally occurring peptide hydrolyzed mainly by ACE, reduces cardiovascular and renal inflammation and fibrosis without lowering BP. We have evidence that Ac-SDKP mediates some of the anti-fibrotic and antiinflammatory effects of ACE inh and also prevents experimental autoimmune myocarditis in rats. Thus we propose to test the general hypothesis that in hypertension Ac-SDKP shifts the balance between pro- inflammatory/pro-oxidative and anti-inflammatory/anti-oxidative systems in favor of the latter by decreasing innate and adaptive immunity and thus slowing the development of EOD. Furthermore, the effects of Ac-SDKP on BP and EOD are related to the degree of participation of innate and adaptive immunity in the pathogenesis of hypertension and EOD. This hypothesis will be studied in 3 aims. Aim I: In hypertensive Dahl salt- sensitive rats (Dahl SS) and in mice with systemic lupus erythematosus and hypertension, a model of autoimmune disease, Ac-SDKP acts as an immune modulator, reducing innate and adaptive immunity and thus EOD. Some of the effects of Ac-SDKP depend on the degree of participation of innate and adaptive immunity in the pathogenesis of hypertension and EOD. Aim II: The effects of ACE inh on the pro-inflammatory transcription factor NF-KB, TH cells and Treg cells are mediated by an increase in AcSDKP. Aim III: The effects of Ac-SDKP are multiphasic; central to these effects are decreases in: 1) the pro-inflammatory transcription factor NF-KB, 2) differentiation and maturation of dendritic cells (DCs), 3) DC transformation of T cells in effector T cells, and 4) TH cell proliferation, activation, migration, and differentiation into pro- inflammatory phenotypes. The effects of Ac-SDKP on TH are partly due to an increase in Treg cells. Project I is related to III and IV which also study Dahl SS; 2) II and III, which also study the pathogenesis of EOD; and 3) II and IV which also study Ang II. Project 1 will use all 4 Cores. Project 3: In hypertension, high glomerular capillary pressure (PGC) leads to glomerulosclerosis. In African-Americans with salt-sensitive (SS) hypertension, high salt intake causes an increase in estimated PGC, which could explain their high rate of hypertensive renal disease. Dahl SS rats on high salt intake have hypertension, high PGC and significant glomerular injury compared to SHR with similar blood pressure. Connecting tubule glomerular feedback (CTGF) is a crosstalk that dilates the afferent arteriole (Af-Art) when Na is increased in the connecting tubule (CNT). General hypothesis: In SS hypertension, during high salt intake there is an imbalance between factors that cause Af- Art constriction (myogenic response and TGF) versus dilatation (CTGF) in favor of the latter, leading to an increase in PGC and glomerular damage. Aim I, Hypothesis, In normotensive animals, chronic high salt intake causes TGF 4 resetting due to heightened CTGF via increased release of EETs and PGE2 by the CNT. Mice with a gain-of-function mutation of ENaC have increased CTGF and reduced TGF, while mice with deletion of ENaC in the CNT have decreased or no CTGF and enhanced TGF. Aim II, hypothesis: In hypertensive Dahl SS rats CTGF is increased, causing TGF resetting leading to increases in PGC and glomerular damage. Conversely, in SHR CTGF is decreased, causing an enhancement of myogenic response and TGF which in turn decreases PGC and protects the glomerulus from damage. In SHR, high salt will increase CTGF, causing attenuation of the myogenic response, TGF resetting, increased PGC, and glomerular damage. In Ang II-induced hypertension in mice with increased ENaC activity, glomerular damage will be greater due to an increase in CTGF, while in mice with selectively decreased ENaC in the CNT glomerular damage will be lower, due to a decrease in CTGF. Aim III, hypothesis: In hypertensive Dahl SS rats, CTGF is augmented due to increases in ENaC, COX-2 and PGE2. In contrast, in SHR CTGF is attenuated due to increased soluble epoxide hydrolase and decreased EET release. Project III is closely related to 1): I and IV which also study Dahl SS; 1) I and II which also study the pathogenesis of EOD; and II which also studies arachidonic acid metabolites. Project III will use all 4 Cores. Principal Investigator: Pamela Harding, Ph.D. Project 2: Uncontrolled hypertension (HTN) is a major cause of end organ damage (EOD) and a risk factor for cardiovascular morbidity and mortality. Although prostaglandin E2 (PGE2) was historically thought to be a mediator of inflammation, more recent evidence suggests that it may be pro or anti-inflammatory, depending on the involvement of specific PGE2 EP receptor sub-types that signal through divergent signaling pathways. We previously reported that aged male mice lacking the EP4 receptor on cardiomyocytes develop heart failure characterized by reduced ejection fraction, left ventricle dilation and fibrosis, coupled with elevated expression of chemokines (fractalkine and MCP-5) in the left ventricle. This proposal examines whether the protective and anti-inflammatory effects of PGE2 via EP4 are mediated by reduced fractalkine and MCP-5. It tests the general hypothesis that EP4, activated by PGE2, reduces the EOD that occurs in Angiotensin II (Ang II)-dependent hypertension and myocardial infarction (MI) by inhibiting the production and/or release of the inflammatory chemokines fractalkine and MCP-5. AimI will study whether PGE2 via its EP4 receptor reduces production and /or secretion of fractalkine and MCP-5 via its EP4 receptor and cAMP in cardiac myocytes and fibroblasts and opposes the deleterious effects of Ang II. AIM II will study whether EP4- dependent reductions in fractalkine and/or MCP-5 improve cardiac function both in vivo and in vitro. Aim III will study whether PGE2 via its EP4 receptor and inhibition of fractalkine and/or MCP-5 synthesis and/or release prevents EOD by reducing infiltration of inflammatory cells into the myocardium in models of Ang II-dependent HTN and myocardial infarction (MI). The proposal will utilize a novel mouse model coupled with state-of-the art molecular techniques to address these aims. These studies are of utmost importance in determining the role of PGE2 and EP4 in cardiac hypertrophy and EOD. Project II is closely related to: 1) Projects I and III which also study the pathogenesis of EOD; 2) Project IV which also studies AT1 receptors and superoxide; and 3) Project III which also studies arachidonic acid metabolites. Project II will use all 4 Cores. 5 Principal Investigator: Mariela Mendez, Ph.D. Hydrogen Peroxide Stimulates Renin Release: Role in Hypertension and Diabetes (NIH R03DK105300-01) Hypertension and diabetes are the principal cause for chronic kidney disease (CKD). In both diseases, a high percentage of patients show activation of the renin angiotensin system (RAS). Renin is the rate-limiting enzyme in the activation of the RAS. Thus, understanding the mechanism and proteins involved in the release of renin may offer alternative targets for hypertension and CKD. Renin is stored in dense-core granules in juxtaglomerular (JG) cells, located at the pole of the renal afferent arteriole, in the kidney cortex. In hypertension and diabetes, reactive oxygen species, including hydrogen peroxide (H2O2), are enhanced in the kidney cortex. We found that hydrogen peroxide stimulate renin release from JG cells. However, the enzymes responsible for production of hydrogen peroxide in JG cells have not been identified. Hydrogen peroxide is mainly a product of superoxide dismutation or enzymatic formation by NADPH oxidases (NOX1-5). The NOX4 isoform preferentially produces hydrogen peroxide and its expression in the renal cortex is enhanced in diabetes and hypertension. Our preliminary data shows that NOX4 is expressed in renin granules in JG cells, suggestive of intragranular production of H2O2. However it is not known whether NOX4 produces the pool of hydrogen peroxide that stimulates renin release from JG cells; and whether NOX4/H2O2-induced renin release contributes to increase blood pressure and kidney damage in diabetic nephropathy. In addition the mechanism by which H2O2 stimulate renin release is unknown. In other cells H2O2 induces signaling by oxidation of protein thiols. In this proposal we will test the hypothesis that the NADPH oxidase isoform NOX4 produces hydrogen peroxide in juxtaglomerular cells and stimulate renin release, thereby increasing blood pressure and contributing to glomerular damage. We will also explore the protein targets by which H2O2 stimulates renin release. In Aim 1 we will use primary cultures of juxtaglomerular cells, isolated afferent arterioles and Akita mice to test the role of NOX4-derived hydrogen peroxide in renin release in vitro and in vivo. In Aim 2 we will use a proteomics approach and subcellular fractionation of renin granules, to identify proteins that are oxidized by hydrogen peroxide in juxtaglomerular cells. This approach will allow us to collect critical preliminary data for an RO1 submission and focus on new protein targets of hydrogen peroxide that mediate renin release. Sleep Medicine Principal Investigator: Drake, Christopher, Ph.D. Behavioral Treatment of Menopausal Insomnia; Sleep, Depression, Daytime Outcomes (NIH R01NR013959-01A1) Insomnia is recognized as one of the most prevalent and costly sleep disorders and is associated with considerable morbidity including significantly reduced quality of life, impaired work performance, and increased risk for major depressive disorder. Insomnia is a key symptom of the menopausal transition with 40-50% of postmenopausal women (> 17 million) having insomnia. Insomnia associated with menopause has a pattern of sleep disturbance predominantly characterized by sleep maintenance difficulties including frequent awakenings and arousals, reduced sleep efficiency, and overall fragmented sleep. It has recently been demonstrated that this pattern of sleep disturbance, difficulty maintaining 6 sleep, increases throughout the progression of menopause. We have recently found sleep maintenance problems in menopause are associated with reduced work performance, increased healthcare utilization, and impaired quality of life. Historically, menopausal symptoms including sleep disturbance, were treated using hormone replacement therapy (HRT). However, evidence linking HRT to increased risks of heart disease and cancer have led to a 40% reduction in the use of sex steroid hormones by postmenopausal women and highlight the need for alternative approaches to treatment. Importantly, the American Association of Clinical Endocrinologists guidelines for management of menopause do not address treatment of menopausal-related insomnia due to the absence of research findings in this area. Cognitive-behavioral therapy for insomnia (CBT-I) yields equivalent short-term efficacy and superior long-term durability to pharmacological treatment of insomnia. However, the efficacy of cognitive behavioral therapy for insomnia comorbid with menopause, one of the primary focuses of the present proposal, has not been tested. Traditional CBT-I has disadvantages however, including the need for a trained therapist and significant time commitment on the part of the patient. Therefore, widespread availability of multicomponent CBT-I is limited by the relatively low number of CBT sleep specialists, complexity of therapy, and patient burden. Thus, another aim of this project is to test the acute and long-term efficacy of a single component behavioral therapy for menopausalrelated insomnia. Given the significant daytime impairment present in insomnia comorbid with menopause including depression, quality of life, and fatigue, a final aim of this proposal is to determine the efficacy of CBT-I on these measures in women with menopausal-related insomnia. The project will test the efficacy of cognitive-behavioral therapy for insomnia (CBT-I), as a safe and effective evidence-based alternative to medication for sleep disturbance associated with menopause. Because CBT-I is costly and time intensive, we will also test the efficacy of abbreviated single component sleep restriction therapy (SRT) in the treatment of menopausal-insomnia. Importantly, we will also test the efficacy of each of these treatments on improvements in depression, fatigue, and quality of life. Principal Investigator: Timothy Roehrs, Ph.D. Risks for Transition from Therapeutic Hypnotic Use to Abuse (NIH R01DA038177-01A1) The acknowledged drugs of choice for the pharmacological treatment of insomnia are the benzodiazepine receptor ligand hypnotics (BzRL). Our nighttime studies show that with therapeutic doses used either short-term or chronically, the abuse liability of BzRLs in insomnia is not seen universally and is relatively low. The data from our last grant, a first-ever study, showed the abuse liability of chronic zolpidem use in insomniacs was low. Yet case reports and retrospective studies continue to report BzRL dependence and for the majority of these cases the abuse developed through initial therapeutic use. In our study some subjects showed an increase in dose across time. Understanding the transition from therapeutic use to abuse and identifying risk factors, such as specific patient and drug characteristics, is both mechanistically and clinically important. Our preliminary data have shown that a subset of insomniacs, those insomniacs that have signs of hyperarousal as reflected by elevated Multiple Sleep Latency Test (MSLT) scores, increased their nightly zolpidem dose across time. BzRLs have differential receptor binding affinities and associated anxiolytic or 7 antidepressant properties. Zolpidem has selective alpha 1 BzRL affinity and little mood activity and thus may show less risk for transition from therapeutic use to abuse than another currently frequently prescribed BzRL with less alpha subtype selectivity such as eszopiclone. We propose to study the abuse liability of a selective (zolpidem) vs nonselective (eszopiclone) hypnotic during chronic use (six months) in an at-risk subpopulation (insomniacs with hyperarousal shown by elevated MSLTs). The proposal is highly innovative as it reflects a paradigm shift in understanding the abuse liability of hypnotics. In the end, this proposal will generate a unique set of data addressing a number of previously clinically important unanswered questions regarding hypnotic abuse by insomniacs (i.e., its likelihood as a function of arousal state and specific hypnotic pharmacology, of dose escalation over time and change in mood/drug effect ratings over time). It will provide clinicians with behavioral indicators of abuse risk. Part II – All Other Clinical Departments • • • • • Dermatology Imaging Research Program Neurology Radiation Oncology Urology Dermatology Research Summaries Principal Investigator: Qing-Sheng Mi, M.D., Ph.D. microRNAs and NKT Cell Development and Function (NIH R56AI119041-01) Natural killer T (NKT) cells are an evolutionarily conserved subset of T cells that are developmentally and functionally distinct from conventional T cells. The ability to quickly secrete large quantities of a variety of cytokines upon activation enables NKT cells to be potent regulators of diverse immune responses. The deficiencies in NKT cell number and function have been linked to the development of many diseases. However, a significant gap remains in our understanding of how the development and function of NKT cells are precisely regulated. MicroRNAs (miRNAs), a recently discovered class of evolutionarily conserved small non- coding RNAs, negatively regulate the expression of protein-coding genes and thereby control essential biological functions and contribute to the development of many diseases. We were the first to report that the deletion of Dicer (a key enzyme for miRNA biogenesis) during hematopoiesis results in a significantly reduced NKT cell number and impaired NKT cell maturation and function, without alternating conventional T cell development in the thymus, suggesting that miRNAs are required for NKT cells. Our long-term goal is to understand how miRNAs regulate NKT cell development and function. While more than 1000 experimentally reported miRNAs, very few specific miRNAs are linked to NKT cells so far. Our objective here is to define specific miRNAs and their targets that regulate NKT cell development and function. Using miRNA arrays, we recently identified dynamic expression of miRNAs, including miR- 155, and miR-17-92 cluster, 8 during NKT cell development and activation. These findings plus our recent other report lead to our central hypothesis that these dynamically expressed miRNAs serve as critical regulators controlling NKT cell development and function through fine-tuning of specific target genes. Here we will further test this hypothesis. We will investigate how dynamic and miR-155 and miR-17-92 expression regulates NKT cell development and function using specific miRNA mutant mice with the gain or loss of miRNA gene. The results from proposed studies may not only illuminate the new immunological and molecular mechanisms underlying NKT cell development, but may also facilitate the development of new and more efficient intervention strategies for autoimmune diseases, infection, and cancer based on the NKT cell therapy. Imaging Research Program Research Summaries Principal Investigator: Soltanian-Zadeh, Hamid, Ph.D. Decision Support System for Temporal Lobe Epilepsy (NIH R01EB013227-01A1) With the ever-increasing role of medical images in diagnosis, treatment planning, and evaluation of treatment effects, extraction of quantitative information from these images and efficient use of the results have become a necessity. In recent years, we have developed novel three-dimensional (3D) knowledge-based methods to segment brain structures from magnetic resonance images (MRI) automatically. These methods need to be optimized, finetuned, and compared to other methods for the segmentation of specific brain structures that may be involved in medical temporal lobe epilepsy (mTLE). Feature extraction methods also need to be developed and optimized to characterize (i.e., determine local and global multiparametric intensity distribution, texture, shape, surface area, surface curvatures, and volume of) the brain structures. Multi-modality analysis using multi-parametric MRI and SPEC needs to be developed for improved sensitivity and specificity. We have also developed our preliminary version of acontent-based human brain image database system to hold the image analysis results with other clinical information (e.g., textual data) in a manner that can be searched, retrieved, and queried conveniently from any computer station. This system needs integrated methods for data preparation, missing value treatment, interactive rule-extraction, visualization, and user- inference to serve as a decision support system in clinical practice. A user-friendly, web- based interface will be critical for the ultimate use of the system by researchers and clinicians. Last but not least, the database needs to be populated with data from alarge number of patients so that it can be confidently used for hypothesis testing and clinical applications. The goal of this project is to develop novel approaches for the above needs. Image analysis and feature extraction methods will segment and characterize hippocampus, amygdala, entorhinal cortex, thalamus, putamen, and other brain structures from MRI. The methods will be tested, evaluated, and validated using clinical data of epilepsy patients. Clinical diagnosis based on EEG studies and surgery outcome will be used as “god standards” for evaluation and validation of the image analysis methods. The proposed decision support system will be populated with multi-modality data of 350 epilepsy patients to evaluate correlation between a variety of risk factors, imaging features, clinical diagnosis (lateralization), and post-operative outcomes, and to assist physicians with improved clinical diagnosis, reduced intracranial EEG studies (reduced risk and suffering of 9 patients as well as their healthcare cost), optimal treatment options, and prediction of outcome in prospective studies. The proposed research will bea breakthrough in the application of computerized methods for medical image quantification and object characterization, and will advance image analysis science in the direction of integrating knowledge-based image segmentation and characterization methods with pattern recognition and data mining technology in decision support systems. The proposed approaches are applicable to the identification, segmentation, and characterization of other biological structures. They are also applicable to virtually any image analysis task for which object segmentation, quantification, and characterization are used. This project will develop a decision support system for assisting physicians to improve diagnosis and prognosis of epilepsy patients while reducing the healthcare cost. It will process multi-modality medical images and extract quantitative information from them. The image analysis results will be used along with the results of other clinical tests as well as the patients’ history and characteristics to reduce the need for intracranial electrographic studies, predict postoperative outcomes, and suggest optimal treatment options for the newpatients. Neurology Principal Investigator: Jieli Chen, Ph.D. Neurorestorative Therapy of Stroke with HUCBC in Type Two Diabetic Mice (NIH 1R01NS083078-01A1) Diabetes mellitus (DM) leads to a 3-4 fold higher risk of experiencing ischemic stroke. Hyperglycemia and diabetes instigate a cascade of events leading to vascular endothelial cell dysfunction, increased vascular permeability and poor recovery after ischemic stroke. Diabetic animals exhibit more severely injured white matter (WM) than non-DM animals after stroke. There is also a differential response to treatment of stroke between DM and nonDM subjects. Effective therapy of stroke in the non-DM population may not necessarily transfer to the DM population, prompting the need to develop therapeutic approaches specifically designed to reduce neurological deficits after stroke in the DM population. Our preliminary data show that T2DM significantly decreases microRNA- 126 (miR-126) and Angiopoietin-1 (Ang1) expression in the circulation and in the ischemic brain of mice. Human umbilical cord blood cell (HUCBC) treatment of stroke in T2DM mice starting at 3 days after stroke significantly improves recovery of neurological function as well as increases miR-126 and Ang1 expression in the ischemic brain. Therefore, based on our robust preliminary data, we propose to use HUCBCs for the treatment of stroke in the T2DM mice and to investigate the role of intercellular communication via miR-126 encapsulated within Exosomes/Microvesicles (EMVs) in mediating the therapeutic benefit on HUCBCs for ischemic stroke. This application includes three Aims. Aim 1 will test if miR-126 mediates HUCBC treatment induced neurorestorative effects after stroke in T2DM mice. We hypothesize that miR-126 mediates HUCBC treatment–induced vascular integrity, axonal outgrowth, and WM remodeling, and improves functional outcome after stroke in T2DM mice. Aim 2 will test whether miR-126 generated by HUCBCs is transferred to brain endothelial cells (BECs) and parenchymal cells via EMVs. We hypothesize that HUCBCs secrete EMVs containing miR-126 which are taken up by BECs and parenchymal cells. Aim 3 will investigate whether miR-126 regulation of Ang1 promotes the HUCBC-induced neurorestorative effects after stroke in T2DM mice. We hypothesize that: 1) HUCBC 10 treatment of stroke in T2DM mice increases Ang-1 signaling activity in the ischemic brain; 2) miR-126 regulates Ang1 expression and thereby regulates vascular remodeling, axonal outgrowth and oligodendrocyte survival and differentiation; 3) Restoration of Ang1 with an Ang1 mimetic peptide will rescue the neurorestorative effects of knockdown of miR-126 in HUCBC after stroke in T2DM mice. In this application, we are the first to propose that, generation of miR-126 encapsulated in EMVs by HUCBCs contributes to its robust therapeutic restorative effects and that miR-126 and its regulation of Ang-1 mediate HUCBCinduced neurovascular and WM remodeling, and thereby improve stroke functional recovery in T2DM mice. This proposal is highly clinically relevant and if successful, will significantly impact the treatment of diabetic and possibly all stroke patients. Principal Investigator: Michael Chopp, Ph.D. MSCs Induce Brain Plasticity via tPA (NIH R01AG037506-03) Cell-based therapies have shown enormous promise in reducing neurological deficits associated with stroke. One of the most effective of these therapies is bone marrow stromal cells (MSCs), that has been demonstrated to be highly neurorestorative. In this application, we will investigate the mechanisms by which MSCs produce this neurorestorative effect. Our preliminary data strongly indicate that MSC treatment of stroke promotes neurite remodeling of brain. We propose that when administered after stroke, MSCs activate tissue plasminogen activator (tPA) within parenchymal cells, and tPA mediates neurite remodeling leading to improvement in neurological function. Therefore, the following three hypotheses are tested Hypothesis 1 a) MSCs increase tPA activity in parenchymal cells; b) Increased tPA activity increases neurite remodeling; c) Increased neurite remodeling contributes to improvement of functional outcome after stroke. Hypothesis 2 a) MSCs up-regulate tPA activity in astrocytes, neurons and endothelial cells via the Shh signaling pathway; b) MSCs down-regulate TGF¿1/PAI-1 via the Shh signaling pathway and thereby increase tPA activity. Hypothesis 3 tPA activity increased by MSCs promotes neurite remodeling via plasmin-dependent proteolytic cleavage of pro-neurotrophins pro-nerve growth factor (pro-NGF) to NGF, pro-brain derived neurotrophic factor (pro-BDNF) to BDNF. These hypothesesdissect the interactions of exogenous MSCs and endogenous parenchymal cells and their affect on tPA activity, neurite remodeling and neurological function after stroke. Our studies employ genetically modified tPA-/-, Plg-/-mice as well as an array of novel and well- established experimental techniques in our laboratory. To our knowledge, our work is the first to investigate tPA activity as a key unifying factor to amplify beneficial actions of exogenous cells in the CNS. This project is a coherent and highly interwoven effort to elucidate the molecular and cellular pathways by which injured brain can be remodeled by cell-based therapies. Our ultimate goal is to delineate the mechanistic underpinnings of cell-based therapy in the restorative treatment of stroke. The therapeutic implications of our studies for all neurological disease and injury are evident. Our study will provide essential insight into how the injured brain is remodeled and neurological function improved using a cell-based therapy. Restorative therapy using exogenously administered cells is not limited by a narrow therapeutic window and can be administered to all stroke patients. Our goal to identify how these administered cells interact with the endogenous brain cells will likely bring to fruition restorative cell-based therapy for the treatment of stroke and neural injury. Principal Investigator: Michael Chopp, Ph.D. 11 miR-17-92 Exosome Treatment of Stroke (NIH R01NS088656-01A1) Exosomes, small lipid microvesicles (30-150 nm), are active biological containers, which transport regulatory genes and proteins between cells and form a major biological communication conduit, facilitating a plethora of biological responses. The regulatory molecules contained in the exosomes include microRNAs (miRNAs), short (22-25 nt) noncoding RNAs which regulate gene translation and play primary roles in mediating a vast range of biological functions. In this proposal, based on strong preliminary data, we propose to manufacture a distinct exosome population which contains increased levels of the miR17-92 cluster as a proof-of-principle and a mechanistic demonstration of a new method of treating stroke and possibly other neurological diseases and injury. We test the premise, that by modulating their miRNA content, exosomes can be designed to enhance plasticity of axons and thereby further promote neurological recovery post stroke. Success of this novel approach may lead to a new designer-based paradigm for the treatment of stroke and neurological disease. The following Specific Aims and associated Hypotheses are proposed: Specific Aim 1: To employ exosomes derived from multipotent mesenchymal stromal cells (MSCs) to treat stroke in order to enhance neurovascular remodeling and thereby, functional recovery post stroke. Hypothesis: Exosomes, derived from MSCs when administered to rats after stroke promote neurovascular remodeling which improves functional outcome. Specific Aim 2: To alter specific miRNAs contained within exosomes generated by MSCs as a means to enhance axonal plasticity and neurological recovery post stroke. Hypothesis: Administration of exosomes with increased miR-17-92 cluster to rats post stroke promotes axonal remodeling and enhances functional outcome. There are multiple layers of innovation in our application: we generate biological exosome carriers tailored for specific miRNAs; we use these exosomes to treat stroke, without the administration of exogenous cells; we employ electrophysiological methods, laser capture, fiber track tracing, a battery of neurological tests, and an array of novel approaches, e.g. microfluidic chambers, and ex vivo slice cultures, to mechanistically determine the molecular pathways of the target exosomes which mediate axonal outgrowth. Development of this designer exosome-based therapy, also serves as a prototype for capitalizing on the characteristics of exosomes to transport specific miRNAs and for the manufacture of designer exosomes. Developing a therapy for stroke that is exosome-based, opens up a wide variety of means to deliver targeted regulatory genes to enhance multifaceted aspects of central nervous system (CNS) plasticity and to amplify neurological recovery for neural injury and neurodegenerative diseases. Principal Investigator: Xu Cui, Ph.D. ABCA1 Regulates White Matter Remodeling and Oligodendrogenesis after Stroke (NIH R01NS092917-01) Stroke is a major cause of white matter (WM) damage which induces long-term disability. There is limited WM remodeling in the adult brain. Many neuroprotective treatments of stroke have failed in clinical trials because they cannot protect WM. Therefore, there is a compelling need to investigate the mechanism underlying WM remodeling and oligodendrogenesis of the adult brain and to develop effective long-term stroke therapy. Cellular cholesterol modulates axonal and dendritic outgrowth and is required for myelination. The level of HDL-cholesterol is related to the progression and recovery of 12 stroke patients. ATP-binding cassette transporter A 1 (ABCA1) is a major cholesterol transporter and plays critical roles in regulation of HDL- cholesterol and ApoE synthesis and metabolism in the central nervous system. Brain specific- ABCA1 deficient (ABCA1-B/B) mice have very low brain HDL-cholesterol/ApoE level, and exhibit neuronal ultrastructure changes and functional deficits. Both HDL-cholesterol and ApoE increase neurite outgrowth in culture conditions. Our preliminary study shows that ABCA1-B/-B mice exhibited increased WM damage and reduced oligodendrogenesis and exacerbated neurological functional deficits after stroke. Primary cultured neurons derived from ABCA1-B/-B mice show decreased neurite outgrowth, which can be attenuated by HDL treatment. ABCA1-B/-B astrocyte-conditioned media also decreased wild type neurite outgrowth after hypoxic ischemia. Therefore, we propose the following three specific aims: Aim1 To investigate whether brain-deficient in ABCA1 exhibits decreases in WMremodeling and axonal growth after stroke. ABCA1-B/-B and floxed-control mice will be subjected to stroke, WM-changes and oligodendrogenesis will be measured. Aim2 To investigate molecular mechanism underlying ABCA1 in regulation of WM-remodeling and oligodendrogenesis after stroke, we will examine whether ABCA1 regulates brain HDL and ApoE level, and whether brain HDL and ApoE levels mediate ABCA1-induced WMremodeling and oligodendrogenesis after stroke. Aim3 To investigate cellular mechanisms of ABCA1 in regulation of WM- remodeling and oligodendrogenesis, we will examine neurons and oligodendrocytes and the cross talk of astrocytes with neurons and oligodendrocytes on ABCA1-induced WMremodeling and oligodendrogenesis in vitro and in vivo. We expect that ABCA1 deficient brain will exhibit significant decreases in HDL and ApoE level, and decreases WM-remodeling and oligodendrogenesis as well as reduced functional outcome after stroke. The level of HDL/ApoE in brain or cerebrospinal fluid will, at least partially, mediate ABCA1-induced WM-remodeling and oligodendrogenesis in the ischemic brain after stroke. To our knowledge, no one has investigated the functional effect of ABCA1 on oligodendrogenesis and WMremodeling post- stroke recovery, especially by using ABCA1-B/-B mice. The new insights gleaned from this study will contribute to our understanding of the beneficial role of ABCA1/HDL-C/ApoE in brain plasticity which will impact development of rational restorative approaches to improve neurological outcome for stroke patients. Principal Investigator: Xianshuang Liu, M.D. Translational Study of miR-146a Gene Therapy for Diabetic Peripheral Neuropathy (NIH R01DK102861-01A1) Peripheral neuropathy is the major complications of diabetes. There is a compelling need to develop effective therapeutic approaches specifically designed to improve neurological function in the damaged peripheral nervous system after diabetes. MicroRNA-146a (miR146a) has been implicated in the regulation of multiple immune diseases. However, the role of miR-146a in diabetic peripheral neuropathy (DPN) has not been investigated. In a novel set of experiments, our preliminary data show that intravenous administration of miR-146a remarkably improved sciatic nerve vascular function, axonal myelination and peripheral nerve function in diabetic mice, indicating that miR-146a may have a beneficial effect on the clinical treatment of DPN. In this application, we therefore seek to investigate the mechanisms underlying the therapeutic effects of miR-146a on DPN. We propose that miR146a by improving vascular function and suppressing pro-inflammation factors ameliorates 13 DPN. The associated hypotheses are: 1. Treatment with chemically engineered miR-146a improves neurological outcomes in DPN in dose and therapeutic window dependent manners. 2. Elevation of miR-146a levels suppresses its target genes, IRAK1/TRAF6 and their down-stream pro-inflammatory factors in vascular endothelial cells and monocytes of type II diabetic mice, thereby, leading to the improvement of neurovascular function and consequently ameliorating peripheral neuropathy. To investigate the effect of miR-146a on neurological outcomes, type II diabetic mice which develop severe peripheral neuropathy will be treated with miR-146a at various time points and doses after onset of DPN. To investigate the underlying molecular mechanisms, the effects of miR-146a overexpression and knockdown on target genes and inflammatory genes that mediate miR- 146a-enhanced neurovascular function will be determined. These studies are innovative and will provide novel insights into mechanisms underlying the neurological dysfunction of DPN and likely lead to the development of a new miRNA-based gene therapy. Principal Investigator: Lei Wang, M.D. Phosphodiesterase-5 is a Therapeutic Target for Peripheral Neuropathy in Diabetic Mice (NIH R01NS075084-02) Peripheral neuropathy is a common and major complication of diabetes, the underlying mechanisms of which are not fully understood. Using a mouse model of type II diabetes, the present study investigated the role of phosphodiesterase-5 (PDE5) in peripheral neuropathy. BKS.Cg-m+/+Leprdb/J (db/db) mice were treated with sildenafil, a specific inhibitor of PDE5, at doses of 2 and 10 mg/kg or saline. Levels of PDE5 and morphometric parameters in sciatic nerve tissue as well as the motor and sensory function were measured in these mice. In diabetic mice, PDE5 expression in sciatic nerve tissue was significantly upregulated, whereas the myelin sheath thickness, myelin basic protein (MBP), and subcutaneous nerve fibers were significantly reduced. Treatment with sildenafil significantly improved neurological function, assayed by motor and sensory conducting velocities and thermal and mechanical noxious stimuli, concomitantly with increases in myelin sheath thickness, MBP levels, and subcutaneous nerve fibers. In vitro, hyperglycemia upregulated PDE5 in Schwann cells and reduced Schwann cell proliferation, migration, and expression of brain-derived neurotrophic factor (BDNF). Blockage of PDE5 with sildenafil increased cyclic guanosine monophosphate (cGMP) and completely abolished the effect of hyperglycemia on Schwann cells. Sildenafil upregulated cGMP-dependent protein kinase G I (PKGI), whereas inhibition of PKGI with a PKG inhibitor, KT5823, suppressed the inhibitory effect of sildenafil on Schwann cells. These data indicate that hyperglycemia substantially upregulates PDE5 expression and that the cGMP/PKG signaling pathway activated by sildenafil mediates the beneficial effects of sildenafil on diabetic peripheral neuropathy. Prinicipal Investigator: Lei Wang, M.D. Thymosin Beta4 Promotes the Recovery of Peripheral Neuropathy in Diabetic Mice (NIH R01DK097519-01) Peripheral neuropathy is one of the major complications of diabetes. There is a compelling need to develop effective therapeutic approaches specifically designed to improve neurological function in the damaged peripheral nervous system after diabetes. Thymosin Beta4 (Tβ4), a major intracellular G-actin sequestering peptide, has multiple biological 14 functions, including promotion of remodeling of injured and damaged tissues, and increasing angiogenesis after myocardial infarction. However, the role of Tβ4 in diabetic peripheral neuropathy has not been investigated. In a novel set of experiments, our data show that Tβ4 remarkably improved sciatic nerve vascular function and peripheral nerve function in diabetic mice, indicating that Tβ4 may have a beneficial effect on the clinical treatment of diabetic peripheral neuropathy. In this application, we therefore seek to investigate the mechanisms underlying the therapeutic effects of Tβ4 on the treatment of diabetic peripheral neuropathy. We propose that Tβ4 by improving vascular function ameliorates diabetic peripheral neuropathy. Our hypotheses are: 1. Treatment with Tβ4 improves neurological function of peripheral neuropathy in diabetic mice. 2. The Ang/Tie2 signaling pathway mediates the therapeutic effect of Tβ4 on neurovascular function in diabetic peripheral neuropathy. 3. The PI3K/Akt signaling pathway underlies the effect of Tβ4 on Ang1/Ang2 expression. To investigate the effect of Tβ4 on neurological outcome, type II diabetic mice which develop severe peripheral neuropathy will be treated with Tβ4 at various time points after onset of diabetes. To investigate the molecular mechanisms that mediate Tβ4–enhanced neurovascular function in diabetic mice, the effect of Tβ4 on expression of Ang/Tie2, and activation of PI3K/Akt signaling pathway will be examined. Using pharmacological inhibitors and siRNA gene knockdown techniques, we will investigate the cause-effect of the Ang/Tie2 and PI3K/Akt signaling pathways on regulating Tβ4-enhanced neurovascular function and axonal outgrowth. These studies are innovative and will provide new insight into mechanisms underlying the neurological dysfunction of diabetic peripheral neuropathy and lead to the development of a new treatment using Tβ4.Peripheral neuropathy often stemming from diabetes is a major disability affecting millions of Americans. In this proposal, employing preclinical studies in the diabetic animal, I seek to develop a novel treatment for peripheral neuropath using Tβ4. Tβ4 is currently in a phase II clinic trial for the treatment of patients with acute myocardial infarction. In this proposal, I also elucidate the molecular mechanism by which Tβ4 is therapeutically effective. This research will provide the essential pre-clinical data for translation to a phase 1 clinical trial. Principal Investigator: Hongqi Xin, Ph.D. Exosome Transfer of miR-133b Mediates MSC Induced Neurological Recovery after Stroke (NIH R01NS081189-01A1) Multipotent mesenchymal stromal cells (MSCs) have potential therapeutic benefit in many diseases including neurological diseases and injury. MSC-based therapies enhance recovery from stroke. We have previously demonstrated that exogenously administered MSCs interact with neural cells, increase the production of neurites, reduce expression of axonal inhibitory molecules and stimulate the production of growth and plasticity positive factors in neural cells which promote neurorestoration and recovery of neurological function. However, it is unknown how MSCs interact with neural cells, alter their protein expression, and thereby promote functional recovery. In the present proposal, we provide fundamental and novel mechanistic insight into how cell-based therapies promote recovery. MicroRNAs (miRNAs) act as master switches regulating the translation of many genes, and exosomes are membrane vesicles, 40-100nm in diameter, that are secreted by a wide range of cell types. We propose that MSCs increase specific miRNA levels in neural cells via exosomes, which subsequently stimulate neurite outgrowth and functional recovery. Based on our preliminary data, we will primarily focus on miR-133b, as an important target miRNA. Two specific aims are proposed. Aim 1: To investigate whether exosomes primarily mediate cell-cell 15 communication by direct transfer of miR-133b to neural cells and/or indirectly by stimulating miR-133b expression in neural cells, which subsequently promote neurite outgrowth and functional recovery after stroke. Aim 2: To investigate the mechanisms by which miR-133b promotes neurite remodeling after treatment of stroke with MSCs. This study opens up important and novel ways to elucidate how exogenously administered cells communicate with and alter neural cells to activate restorative events. Confirming our hypothesis represents a major leap forward in our understanding of cell-cell communication and will lead to novel ways to augment brain recovery. Principal Investigator: Zheng Gang Zhang, M.D., Ph.D. MicroRNAs and Neurogenesis after Stroke (NIH 1R01NS075156-03) MicroRNAs (miRNAs) regulate biological function of neural progenitor cells and oligodendrocyte progenitor cells (OPCs). Our preliminary data show that stroke substantially changed miRNA expression profiles in adult neural progenitor cells and oligodendrocytes. In this application, we propose to test the hypothesis that miRNAs in neural and OPCs play a pivotal role in mediating adult neurogenesis and oligodendrogenesis in the ischemic brain. In Specific Aim 1, we will investigate the effect of inactive miRNA processes in neural progenitor cells and OPCs on stroke-induced neurogenesis and oligodendrogenesis by conditional and inducible Dicer ablation in Ascl1 lineage cells (Ascl1CreTM/Dicerflox/flox). In Specific Aim 2, we will investigate whether the sonic hedgehog (Shh) signaling pathway interacts with the miR- 17-92 cluster to increase neurogenesis and oligodendrogenesis. In Specific Aim 3, we will investigate the effect of the miR17-92 cluster on biological function of neural and oligodendrocyte progenitor cells in the ischemic brain by deletion or overexpression of the miR17-92 cluster in neural progenitor cells and OPCs after stroke. These studies will provide novel insights into miRNAs in regulating stroke-induced neurogenesis and oligodendrogenesis, which could potentially lead to new therapies to amplify neurogenesis and oligodendrogenesis in injured brain. Neurogenesis and oligodendrogenesis are associated with functional recovery after stroke. Molecular mechanisms underlying generation of new neurons and oligodendrocytes in ischemic brain have not been fully understood. Our preliminary data suggest that MicroRNAs (miRNAs), short noncoding RNA molecules, could be essential components in mediating stroke-induced neurogenesis and oligodendrogenesis. In this application, we propose three experiments to investigate the role of miRNAs in regulating adult neurogenesis and oligodendrogenesis in the ischemic brain. We will first delete Dicer to inactive miRNA processes in neural progenitor cells and oligodendrocyte progenitor cells (OPCs) after stroke. We will then examine a linkage between the sonic hedgehog (Shh) signaling pathway and miR17-92 expression in mediating neurogenesis and oligodendrogenesis. Finally, we will ablate or overexpress the miR17-92 cluster in neural progenitor cells and OPCs. These studies will provide novel insights into miRNAs in regulating stroke- induced neurogenesis and oligodendrogenesis, which could potentially lead to new therapies to amplify neurogenesis and oligodendrogenesis in injured brain. Principal Investigator: Zheng Gang Zhang, M.D., Ph.D. Ac-SDKP for Treatment of Acute Stroke (NIH R01NS079612-01A1) Stroke is a leading cause of death and disability worldwide and approximately 72% of 16 people who suffer a stroke are over the age of 65. Tissue plasminogen activator (tPA) is the only drug approved by the Food and Drug Administration (FDA) for treatment of acute stroke (within 4.5h). The most feared complication after tPA treatment of stroke is an increased risk of cerebral hemorrhage. Our preliminary data indicate that N- acetylserylaspartyl-lysyl-proline (Ac-SDKP), a peptide normally presented in human plasma, in combination with tPA reduced infarct volume by more than 50% and improved neurological outcome, but did not increase the incidence of hemorrhagic transformation in young adult rats. In this application, we propose to develop a combination therapy of AcSDKP and tPA for treatment of acute stroke in aged rats and to investigate molecular mechanisms underlying the combination therapy on the neurovascular unit. In Specific Aim 1, using MRI and 3D laser confocal microscopy, we will investigate the effect of Ac-SDKP alone and Ac-SDKP in combination with tPA on recanalization of the occluded MCA, cerebral microvascular perfusion and vascular integrity, brain hemorrhage, and ischemic neuronal damage in aged rats subjected to embolic middle cerebral artery occlusion (MCAO). In Specific Aim 2, we will examine whether Ac-SDKP suppresses the ischemiaand tPA-activated nuclear transcription factor-κB (NF-ĸB) pathway in cerebral vessels, which leads to enhancement of cerebral microvascular patency and integrity by reduction of thrombosis. In Specific Aim 3, we will examine whether Ac-SDKP blocks the ischemiaand tPA-activated transforming growth factor β (TGFβ) signaling pathway in cerebral vessels and astrocytes, which leads to reduction of thrombosis by down regulation of plasminogen activator inhibitor1 (PAI- 1). These studies could potentially provide a new therapy to minimize the adverse effect of tPA on ischemic neurovascular damage, leading to improved neurological outcomes after acute stroke. Radiation Oncology Principal Investigator: Svend Freytag, Ph.D. Gene Therapy and Radiation Therapy for Prostate Cancer (NIH R01CA160289-02) Our translational research program has been developing a multi-modal, gene therapy- based approach for the treatment of cancer. We have evaluated the toxicity and preliminary efficacy of our investigational approach in five clinical trials of non-metastatic prostate cancer. Our early stage results indicate that our approach is safe and has the potential to improve local tumor control. Although local tumor control is important, new therapies for high-risk prostate cancer must also target metastatic disease if they are to have an impact on survival. Hence, we have added a fourth modality to our investigational approach by generating a third-generation adenovirus armed with interleukin 12 (IL-12) that has the potential to eradicate both local and metastatic disease. This new adenovirus has generated encouraging preliminary results in preclinical studies, and we plan to move it into the clinic targeting high-risk prostate cancer. In specific aim 1, we will test the hypothesis that IL-12 will improve the efficacy of replication- competent adenovirus-mediated suicide gene therapy and radiation in an immune- competent, orthotopic model of prostate cancer. C57BL/6 male mice bearing intraprostatic TRAMP-C2 tumors will receive an intratumoral injection of Ad5- yCD/mutTKSR39rep-mIL12 followed by 2 weeks of 5-fluorocytosine (5FC) + ganciclovir (GCV) prodrug therapy and pelvic radiation. Primary endpoints are local and metastatic tumor control. Secondary endpoints include T cell activation, NK and CTL activity, serum and tumor cytokine levels, and development of anti-tumor immunity. In 17 specific aim 2, we will test the hypothesis that cyclophosphamide (CP) can be combined safely with replication-competent adenovirus-mediated suicide and IL-12 gene therapy and that the combined therapies exhibit synergy in vivo. Efficacy will be examined in the immune-competent, orthotopic TRAMP-C2 tumor model without and with CP. Efficacy endpoints are identical to those in specific aim 1. Toxicity will be examined in C57BL/6 male mice and Syrian hamsters, the latter of which are permissive for human adenovirus replication. In specific aim 3, we will test the hypothesis that replication-competent adenovirus-mediated suicide and IL-12 gene therapy can be combined safely with intensity modulated radiation therapy (IMRT) and androgen suppression therapy (AST) in men with newly-diagnosed, high-risk prostate cancer. Fifteen men (5 cohorts, 3 patients each) with high-risk prostate cancer (Stage e T3 or Gleason e 8 or PSA >20 ng/mL) will receive a single injection of Ad5- yCD/mutTKSR39rep-hIL12 at five dose levels (1 x 1010 vp to 1 x 1012 vp in half-log increments). The adenovirus will be injected intraprostatically under transrectal ultrasound-guidance. Two days later, men will receive 2 weeks of 5-FC + valganciclovir (vGCV) prodrug therapy concomitant with 80 Gy IMRT and e 2 years of AST. The primary endpoint is toxicity through day 90. Secondary endpoints are: 1) prostate biopsy at 2 years, 2) freedom from biochemical/clinical failure (FFF), 3) disease-specific survival, 4) overall survival, and 5) serum cytokine levels. We believe this research will have high impact because it may lead to better treatments for aggressive forms of prostate cancer. Public Health Relevance: The broad, long-term goal of the proposed research is to develop better cancer treatments. This research will improve further an investigational therapy that has already demonstrated promising activity in early stage trials of prostate cancer. We believe this research will have high impact because it will lead to better treatments for aggressive forms of prostate cancer. Urology Principal Investigator: Nallasivam Palanisamy Functional Characterization of Pseudogenes as New Biomarker in Prostate Cancer (NIH 7R21CA176330-02) Prostate cancer remains the most commonly diagnosed cancer and second leading cancerrelated death in men in the United States with 238,590 new diagnosis and ~29,720 deaths in 2013 (ACS). Accurate diagnosis and early intervention will reduce the number of deaths due to metastatic prostate cancer. Prostate cancer diagnosis is based initially on the controversial serum prostate specific antigen (PSA) level. To overcome the problems associated with testing PSA level, identification of accurate and reliable cancer-specific molecular markers will reduce unnecessary biopsies for those with benign conditions and direct patients with aggressive disease for appropriate treatment. The genetic basis of prostate cancer can be classified into groups based on specific driving molecular aberrations. About 50-60% of prostate cancer patients are known to have E26 transformation specific (ETS) gene rearrangements and overexpression of SPINK1 was identified in 5-10% of ETS-negative prostate cancer. Recently, we reported the identification of “druggable” gene fusions involving RAF kinase genes (SLC45A3-BRAF and ESRP1-RAF1) in 1-2% of ETS negative prostate cancer. The genetic basis of the remaining 30-40% of ETS-negative prostate cancer remains unknown. In this proposal we utilized next generation sequencing technology to study the transcriptional landscape of 18 prostate cancer on a genome-wide scale for pseudogene expression. In our pilot study using 89 prostate cancer samples we identified 8 candidate pseudogenes and a novel fusion gene involving a pseudogene expressed only in prostate cancer. Based on the encouraging preliminary results on the functional role of the candidate pseudogenes, we will prioritize our studies with a focus on the functional characterization of CXADRP2 and KLK4- KLKP1. In specific aim 1: We will expand the validation of candidate pseudogenes in a large cohort of prostate cancer to understand their unique role in prostate cancer. In our preliminary validation studies, we confirmed the expression of CXADRP2 in ETS fusion-negative prostate cancer and KLK4-KLKP1in ETS fusion positive prostate cancer. Further using RNA in situ hybridization assay we showed significant increase in the expression of KLK4KLKP1 in high Gleason score (GS-7 or above) prostate cancer indicating its potential role in aggressive prostate cancer. We also presented preliminary data on the expression of these two pseudogenes in post-DRE urine samples, indicating the potential to screen by noninvasive methods. With the strong correlation with ETS -positive and ETS -negative prostate cancer for CXADRP2 and KLK4-KLKP1; respectively, we will correlate the expression with known prostate specific non- coding RNA PCA3 and PCAT-1 to understand the mutually exclusive function of pseudogenes in subsets of prostate cancer. Given the unique 54 amino acid peptide from KLKP1, we will develop KLKP1 specific antibody to screen by western blot analysis and immunohistochemistry. In specific aim 2: We showed strong functional data using in vitro and in vivo studies. We also show that either of the gene has any effect on the other, suggesting an independent mechanism in prostate cancer. We will perform gene expression microarray analysis in cells with overexpression to understand the molecular mechanisms involved and potential signaling pathways affected by the pseudogenes. Further, based on the encouraging results from the in vivo CAM assay, we will validate the oncogenic properties in murine models. We anticipate that validation of these new molecular markers will add into the armamentarium of prostate cancer diagnostics to identify patients that will develop metastatic disease who require early and aggressive treatment strategies. Part III – Population and Health Sciences • • Center for Health Policy and Health Services Research Department of Public Health Sciences Center for Health Policy and Health Services Research Principal Investigator: Brian Ahmedani, Ph.D. Treatment Utilization Before Suicide (TUBS) (NIH R01MH103539-01A1) Adult suicide rates in the United States rose by almost 30 percent between 1999 and 2010. These rates have not markedly improved in decades. To date, previous suicide attempts and psychiatric diagnoses are largely the only known clinical risk factors for suicide death. Recent research shows that most individuals who die by suicide make a health care visit in the weeks and months prior to their death. Most of these visits occur in primary care or outpatient medical specialty settings. However, over half of these visits do not include a psychiatric diagnosis. 19 Thus, there is limited evidence available from health care users in the US general population to inform targeted suicide screening and risk identification efforts in general medical settings. New research is needed to investigate the general medical clinical factors associated with increased suicide risk among individuals without a known risk factor. This research project uses data on more than 4000 individuals who died by suicide and made health care visits to one of eight health care systems across the United States in the year prior to their death. These health systems are members of the Mental Health Research Network and have affiliated health plans. They are able to capture nearly all health care for their members via the Virtual Data Warehouse (VDW). The VDW consists of electronic medical record and insurance claims data organized using standardized data structures and definitions across sites. These data are matched with official regional mortality data. This project includes the following specific aims: 1) identify clinical factors from general medical visits prior to suicide across sites, 2) compare clinical factors to a matched sample of health care users across sites, and 3) investigate indications of psychiatric and other concerns in general medical chart notes prior to suicide. This is the first study with a large enough sample in the US general population to be able to study general medical treatment utilization prior to suicide death. This project will allow the identification of previously unknown factors that increase risk of suicide death, including general medical diagnoses, medications, health care procedures, and types of visits. These results will inform decisions about how to focus suicide prevention efforts in general medical settings. Principal Investigator: Keoki Williams, M.D. Combined Transcriptomics and Genomics to Find Asthma Genes in Admixed Populations (NIH R01HL118267-01A1) African American individuals are more likely to develop asthma and are nearly three times as likely to experience serious asthma complications when compared with European American individuals. Genome wide association studies have identified a number of genetic risk markers for asthma, but many of the associations observed in European and European American patients have not replicated in African American individuals. This may be the result of allele frequencies, linkage disequilibria, or disease- related genes which differ by ancestry. Detailed characterization of the transcriptome can aid in the identification of asthma-related genes by circumventing some of the aforementioned problems associated with genotype association alone. Therefore, this proposal seeks to combine transcriptomics and genomics to identify asthma-related genes and the expression quantitative trait loci (eQTL) which appear to regulate these genes. We propose using RNA sequencing (RNAseq) to characterize the transcriptome of African American individuals with and without asthma. RNA-seq is superior to traditional microarrays at quantifying transcript abundance, but this method has not been widely used in U.S. minority populations to date. The Study of Asthma Phenotypes and Pharmacogenomic Interactions by Race-ethnicity (SAPPHIRE) cohort is an ideal group in which combine these analytic approaches. In addition to being one of largest and best characterized asthma cohorts in the U.S., genome wide genotype data and banked whole blood RNA already exist for a large number of SAPPHIRE participants. In Specific Aim 1, we will use RNA-seq to identify expression differences in previously identified asthma-related genes among African American individuals by asthma status. Preexisting genotype data will then be used to identify eQTL for these differentially expressed, 20 asthma-associated genes. In Specific Aim 2, we will use admixture mapping to identify chromosomal regions where ancestry is associated withasthma. The genes in these regions will be interrogated for differential expression by asthma status. The resulting potentially novel, ancestry-specific asthma genes will also be assessed for eQTL. As a subset of African American SAPPHIRE participants have RNA collected at both their initial evaluation and the time of an asthma exacerbation, in Specific Aim 3 we will assess whether the genes identified in the preceding aims are also associated with asthma exacerbations. Lastly, Specific Aim 4 will attempt to replicate our findings in a separate group of African American participants with and without asthma. In summary, asthma is a complex disease with potentially distinct genetic predictors by ancestry. Persisting inequities in asthma complications by race-ethnicity underscore the need for improved disease biomarkers and therapeutic targets. As a step in this direction, we proffer an integrative approach with greater statistical power to identify asthma- related genes and their regulatory elements. Department of Public Health Sciences Principal Investigator: Gwen Alexander, Ph.D. Encouraging Young Adults to Make Effective Nutrition Choices: MENU Gen Y Study (NIH R01HD067314) The MENU Gen Y Study will focus on developing an age-targeted web-based intervention designed to increase daily intake of fruit and vegetables for young adults (age 21 – 30 “Gen Y”) using features that appeal to and factors relevant to this targeted age group. Principal Investigator: Andrea Cassidy-Bushrow, Ph.D. Delivery Mode, Environment and the Gut Microbiome: Influence on Childhood Body Size (NIH R01HD082147-01A1) Caesarean section (CS) delivery, which accounts for ~32% of all US births, has been associated with offspring obesity. Little is known about the mechanisms linking CS with obesity risk. The gut microbiome, which varies by mode of delivery, is also associated with childhood obesity. In our established racially and socioeconomically diverse birth cohort (WHEALS; Wayne County Health, Environment, Allergy and Asthma Longitudinal Study), the early-life gut microbiome is associated with body mass index (BMI) category at age 2 years; CS is associated with both a distinct early-life gut microbiome and with increased BMI at age 2 years; and the presence of pets in the home, which increases microbial diversity, reduces the association between CS and BMI. Our data provide evidence for a mediating role of the gut microbiome in the CS-obesity relationship. However, to provide stronger evidence requires additional study. This project builds on extant data in WHEALS and on-going data collection in a subset of these children to examine the role of the gut microbiome in the CS-obesity association. Children will be invited for a research clinic visit for comprehensive body size assessment and blood draw at age 10-12 years. Gut microbiome composition and predicted function will be measured in banked early- life (1 and 6 months of infancy) stool samples and in samples from these children at age 10-12 years using the 16S rRNA and ITS2 biomarker genes and the Illumina MiSeq platform. A 21 metabolomics analysis will be conducted in a subset of these stool samples. Adiposity will be measured as BMI at ages 2 and 10-12 years, BMI trajectory from birth to age 10-12 years, and anthropometric, bioimpedance and inflammatory measures at ages 10-12 years. Combined, we anticipate 630 unique children will have 10-year adiposity measures and at least one early-life microbiome measure (~405 with 1 month and ~381 with 6 month stool samples, which includes ~300 children with paired 1 and 6 month samples). Of these children, 400 will also have gut microbiome measured at age 10-12 years. Our specific aims are to: (1) examine if mode of delivery is associated with childhood adiposity; (2) examine if the gut microbiome is associated with childhood adiposity; and (3) examine whether the gut microbiome mediates relationships between mode of delivery and measures of adiposity. Such a complementary “omics” approach has never been applied to the study of childhood obesity and is likely to provide critical insights into disease development in early-life as well as potential targets amenable for intervention. Overall Principal Investigator: Christine Cole-Johnson, Ph.D. Project 3, Project 4 Principal Investigator: GanesaWegienka, Ph.D. Project 1 Pets and the Infant Microbiome: Effect on Immune Maturation & Atopic Asthma (NIH P01A1089473-01A1) This Program Project Grant (PPG) study seeks an increased understanding of the relationships between dog or cat exposure during infancy and a lower risk of allergic asthma. We believe that this protective association is related to different patterns of microbial stimulation during immune development. Four synergistic Projects will examine our hypothesis that the presence of pets in a home results in a more diverse bacterial community composition (BCC) of the dust in the home which in turn influences the development of the gut BCC of a newborn infant living in the home. A more diverse gut BCC shifts the maturation of the infant's immune system such that later immune responses are less likely to produce IgE antibody responses and allergic asthma. Project 1 examines the relationships between the presence of a dog or cat in a home, the BCC of dust in the home, the BCC of stools of infants living in homes and allergic sensitization at 2 years of age. An innovative, culture-independent microarray (G3 PhyloChip) will be used to characterize the BCCs utilizing previously collected samples from the ongoing WHEALS birth cohort study. Changes in home BCC following introduction of a dog are also examined. Project 2 will recruit a new birth cohort of children either living with or without a dog, measure infant stool BCC, and follow the cohort with detailed studies of immune function until 18 months of age to determine the impact of dog exposure on immune maturation. Project 3 uses mouse models of allergic asthma to further examine the influence of house dust from homes with and without dogs on immune responses that result in lung inflammation. The use of mouse models allows more detailed studies of immune functions from multiple compartments of the body than are possible with human children. Project 4 again utilizes the existing WHEALS birth cohort to examine the relationships between dog or cat exposure during the first year of age, 6-month infant stool BCC, and the presence of allergic asthma at 9 years of age. The Projects are supported by five Cores which each provide essential services to all four Projects. Subcontracts to the University of Michigan, UCSF, and Georgia Regents University, as well as the summaries of the Cores are not described here. Principal Investigator: Christine Cole-Johnson, Ph.D. 22 Project 3: Allergic asthma is common in Westernized countries and its prevalence has increased greatly during the last century. Interestingly recent research has shown that exposure to pets during infancy correlates with a lower risk of developing allergy and asthma in later life. In addition, data generated by the PPG investigators have demonstrated that pets can be associated with alterations to the microbiota in house dust. It is well known that soil and dust are ingested by children, and alterations in gut microbiome have been associated with risk for allergic asthma development. In order to further our understanding of the mechanisms that lead to the alterations observed clinically, this project has established and utilized models of pulmonary disease with exposure to dust from homes with dogs versus no pets. Using two different mouse models of allergic asthma (cockroach antigen and ovalbumin), we will study pulmonary immune responses after oral exposure to house dust using samples collected from homes with dogs and without pets. We will test the overall hypothesis that the composition of the dust microbiome from homes with dogs versus no pets differentially alters pulmonary immune responses during allergen exposure by changing the GI microbiota or bacterial community composition (BCC), resulting in systemic changes in antigen presenting cell and bone marrow progenitor cell programming and allergic outcomes. To test this hypothesis, we will specifically focus on clinically relevant mechanisms involved in the ability of pulmonary-derived allergen responses to induce Th2 cytokines, mucus hypersecretion, physiologic changes (AHR), and changes in innate responses locally as well as systemically. Our studies will: 1) establish that exposure of mice to dust from homes with dogs versus no pets will result in differential changes in the GI BCC, 2) demonstrate that the dog dustaltered gut microbiome alters pulmonary allergic responses, 3) establish that the dog dustinduced changes alter dendritic cell responses in the lung, 4) identify that changes in innate responses are a systemic effect by examining bone marrow cell responses, and 5) utilize innovative mouse models to derive the cellular mechanisms of the altered responses. BCC will be measured using the G3 PhyloChip. Thus, these studies, in close collaboration with the other projects in this PPG, will clarify a number of previously unexplored questions and will guide exploration into this novel area of research. Project 4: The overall objective of Project 4 is to assess the relationship between exposure to pets, the infant home and gut microbiomes, and allergic asthma at 9 years of age, using an ethnically diverse, population-based general risk birth cohort (the WHEALS cohort). A premise with growing evidence is that lack of exposure to particular patterns of microbial stimuli during early infancy results in a heightened T-helper (Th) 2 response in the maturing immune system, likely due to a suboptimal regulatory capacity, which in turn is associated in childhood with increased immunoglobulin (lg)E, allergy, and clinical allergic conditions such as asthma. Epidemiological studies have revealed that atopic conditions have increased over the latter half of the twentieth century. Humans, in earlier centuries had lifestyles associated with closer direct contact with soil, animals and other humans, suggesting exposure to environments with richer and more diverse microbiological burdens. We hypothesize that evolutionary adaptation to such microbial exposures with respect to immune recognition and regulation may result in untoward consequences when humans are presented 23 with the different, and probably more limited, patterns of microbial exposures found in modern Westernized societies. Our theory is that in many settings, pets, as well as farm animals in close proximity, render the home microbiome, or bacterial community composition (BCC,) to be more similar to early 20th century environments with respect to an increased bacterial richness, diversity and a more even distribution of taxa. This home microbiome impacts directly through effects on the infant gastrointestinal tract BCC the immunogenesis of the infant and subsequently the development of clinically important outcomes such as childhood atopic asthma. Using a new technology (the G3 PhyloChip), capable of cost-effectively identifying, to a great depth, bacteria in environmental and biological samples, our collaborative team has preliminary data suggesting that the presence of dogs and cats is associated with distinct home and infant gut microbiomes characterized by dramatic increases in bacterial diversity, richness and evenness. Using newly measured outcome variables measured by questionnaire and clinical examinations in the WHEALS cohort, in conjunction with PhyloChip analyses of stored infant stool and dust samples, we will test whether distinct patterns of pet exposure, home microbiome and infant gut microbiome are associated with current allergic asthma at age 9 years. Principal Investigator: Ganesa Wegienka, Ph.D. Project 1 The overarching hypothesis of Project 1 is that pet ownership is associated with exposure to a wider diversity of bacteria in house dust, and that these exposures profoundly influence the bacterial community composition (BCC) of the infant gastrointestinal microbiome, maturation of immune responsiveness and subsequently, the development of allergy and allergic asthma. This Project thus proposes two population-based studies and a longitudinal panel study to shed light upon mechanisms that may explain the observed protective effects of exposure to household pets during infancy against development of atopy and high total IgE in infancy. We propose to use an advanced, highly sensitiveand semi-quantitative method for bacterial detection, the G3 PhyloChip. This method offers an unprecedented capacity for detailed, high-resolution profiling of complex microbial communities, detecting in parallel common and uncommon members of assemblages present in house dust and infant stool samples. For Aims 1 and 2, we propose to examine samples already collected and stored form a large, carefully characterized, racially and socio-economically diverse, cohort of children (the WHEALS cohort). In Aim 1 we propose using an innovative case-cohort design to compare samples from infants who became atopic at age 2 years versus samples form a randomly selected sub-cohort (serving as the control group). Using the sub-cohort in Aim 2, we will determine whether, and in what fashion, bacterial community composition of both house dust and infant stool are impacted by pet-keeping and if they are related to each other. The study of bacteria, or bacterial communities, identified as deriving from dog keeping will be enabled by a small prospective panel study proposed as Aim 3, to analyze the changes in microbial community composition of house dust in child-occupied but previously pet-free households into which a dog is introduced. Because the 16S-rRNAPhyloChip provides information on relative abundance of every bacterial taxon detected, we aim, through statistical analyses, to take advantage of this semi-quantitative data to identify particular bacterial species as critically important in protection against atopy development. Principal Investigator: Christine Cole-Johnson, Ph.D. 24 Personalizing Care for Obese Patients in an Urban Health System (Agency for Healthcare Research and Quality R24HS022417-01) Today, patients and providers are presented with more health care options than ever before. There is considerable doubt and lack of understanding of science not only among patients, but also among physicians. Without systematic, evidence-based guidance for the appropriate and efficient use of the multitude of treatment options, as well as the consideration of patient preferences, the rapid growth and complexity of treatments will only add to the existing confusion about which option is best for each individual patient. The objective of the proposed Patient-Centered Outcome Research Center (PCORC) is to fully leverage and further develop the research infrastructure and clinical assets of Henry Ford Health System (HFHS) in order to conduct Patient-Centered Outcomes Research (PCOR). The PCOR evidence will guide care in order to achieve patient-desired outcomes in our urban and suburban patient populations located throughout Metropolitan Detroit. The Center will be organized into four different Cores (Patient Engagement Core, Study Design and Analysis/Measurement Core, Patient Data Network Core, and Implementation/Dissemination Core) with different functions. The Center currently has three PCOR projects proposed that are focused on our selected theme of caring for the obese patient. The HFHS PCORC will maximize programmatic and scientific efficiency within our health care system setting, promote shared use of resources and standardization of processes and procedures, promote training in PCOR/Comparative Effectiveness Research (CER) methods, and facilitate rapid dissemination of research findings to the medical community and translation of those results into our system's clinical practice. The Center will build on existing research capabilities by developing expertise in novel PCOR methods through didactic course work, educational sessions at national meetings and content-specific educational seminars. These educational experiences will allow the Center staff to learn how to develop and conduct innovative PCOR.studies that will provide evidence for the many pressing issues in patient care. The Center will demonstrate its proficiency through the conduct of the proposed projects. The proposed PCORC is relevant to public health because it provide research infrastructure and methods for the design and conduct of patient-centered outcome research (PCOR) projects in patients within our health care system. The results of those projects will provide evidence-based and patient-centered guidelines available to physicians in their offices, on a real-lime basis in order to ultimately provide care that places each individual patient and his/her preferences at the center of decision-making. Principal Investigator: Albert Levin, Ph.D. Comprehensive Analysis of Gene-Environment Interaction in Sarcoidosis (NIH R21HL129023-01) Sarcoidosis is a multi-organ granulomatous, inflammatory disease of uncertain etiology, with 90% of cases presenting pulmonary involvement. Despite convincing evidence that sarcoidosis likely arises when a genetically-susceptible host is exposed to a causative environmental agent, studies of environmental agents and disease risk suggest that there is more than one single environmental trigger. Further, there have been few gene-environment interaction (GxE) studies of disease etiology published to date; those few have focused on 25 the class II genes within the Human Leukocyte Antigen (HLA) region, the most studied and validated region associated with sarcoidosis risk. In the United States, African Americans are at highest risk for sarcoidosis; the adjusted annual incidence among African Americans is roughly three times that of European Americans (35.5/100,000 versus 10.9/100,000). Among African Americans, the disease is also more likely to be chronic and severe. We recently performed the first gene-environment-wide interaction study (GEWIS) of insecticide exposure and sarcoidosis risk in the Ancestry Mapping of Sarcoidosis Study (AMASS), a large study of sarcoidosis in African Americans. Using our recently-developed methodology, we identified a genome-wide significant GxE association in the FUT9 gene. To build on this effort, the current proposal will focus on the family-based portion of AMASS (503 families, including 818 sarcoidosis cases and 632 healthy family members), which has a rich resource of both environmental exposure and genetic (genome-wide genotyping, targeted/full exome sequencing, and imputed HLA Class I and II genes) data available. First, we propose to identify environmental exposures associated with sarcoidosis risk (Aim 1). Where existing sarcoidosis studies have been limited to investigating environmental exposures in isolation, we will move beyond this trend by using latent-class analysis (LCA) to identify patterns across multiple environmental exposures. Associated environmental exposures (individual and/or LCA-identified multi-exposure groups) will be evaluated for GxE effects (Aim 2). Current family-based GEWIS have focused on the exhaustive strategy of testing all genetic variants. To attempt to improve power, we will extend a two-step strategy to our study of related and admixed individuals and compare both exhaustive and two-step GEWIS strategies via simulation. The strategy with the highest power that also controls the type-1 error rate will be selected for GxE testing for the environmental factors from Aim 1. In summary, we propose multiple innovations to the fields of both GxE analysis and sarcoidosis research that increase the chance for better understanding of the etiology of this debilitating disease. Principal Investigator: Mei Lu, Ph.D. Pragmatic Cluster Randomized Trial of an Asthma Intervention for Urban Teens (NIH R01HL114981-01) Clinical trials are critical for medical decision making, however, under the current paradigm, clinical trials are fraught with problems, including low enrollment of eligible patients, poor study compliance and high cost for the specialized infrastructure for study conduct. Most trials are of an explanatory nature (i.e., efficacy under ideal, highly controlled conditions) rather than pragmatic (evidence of effectiveness in a real clinical situation). Comparative effectiveness methods (CEM) seek to reduce the inefficiency and high cost of clinical trials while comparing effective interventions in a real world setting with decisions tailored to individual patient needs. CEM strategies, such as electronic initiatives, the use of centralized databases with remote data capture (RDC), and integration of the electronic medical record (EMR) with RDC for trial data collection, patient enrollment, and data management, are revolutionizing the conduct of clinical trials through cost reduction and improved efficiency. The objective of this proposal is 1) to implement a seamless clinical trial lifecycle using EMR initiatives and 2) to design and conduct a Phase II trial using EMR-RDC integration to evaluate an asthma management program for urban teens in a clinical setting. Urban clinics from Henry Ford Health System of Detroit and Kaiser Permanente of Atlanta will participate. Both are members of the HMO Research Network (HMORN) which has developed an innovative Virtual Data Warehouse (VDW) for common EMR data collection. The specific 26 aims of this proposal are: Aim 1 Design a Phase II pragmatic cluster randomized trial of a web-based asthma management intervention in teens with asthma attending urban clinics, using adaptive approaches to plan a future Phase III trial. Aim 2: Use electronic initiatives for patient enrollment and management including EMR back-end and front-end for patient recruitment, online consent, and electronic monitoring of intervention compliance and follow-up. Aim 3: Establish and maintain a centralized Oracle Clinical infrastructure with RDC integration to EMR/VDW and electronic patient reported outcomes (ePROs). Our pragmatic approach with electronic initiatives will (a) minimize the need for new infrastructure for trial conduct; (b) maximize electronic retrieval of clinical endpoints (thereby minimizing the need for non-routine care clinic visits); (c) allow exploration of webbased patient assent/consent; (d) allow electronic monitoring of compliance to study regimen, and (e) maximize external validity. We will randomize 9 clinics with 250 teens for this Phase II trial (pilot study) to test feasibility, validity and cost of the trial. Using elements of the adaptive design for clinical trials, we will assess futility and feasibility of the proposed intervention. If no futility is observed, we will seek funding for a Phase III trial with more HMORN sites and a larger study population. Public Health Relevance: Our multidisciplinary team, with extensive experience in clinical trial design, will conduct a pragmatic cluster randomized trial with an adaptive design. This PCRT will use state- of-art centralized infrastructure, including the integration of an EMR and EMR-RDC database, to evaluate a behavioral intervention in the outpatient clinic setting. This approach will significantly increase study recruitment and reduce study-associated costs. Principal Investigator: Christine Neslund-Dudas, Ph.D. Exploration of Cadmium as an Endocrine Disruptor in Prostate Cancer Disparities (NIH R21ES024379-01) Tremendous race disparities exist in prostate cancer incidence and mortality. Reasons for these disparities remain unknown but are likely due to both environmental and biological factors. In vitro studies suggest that the heavy metal cadmium is an endocrine disruptor of the androgen receptor. The androgen receptor is essential for normal prostate growth and development but is also the primary drug target for treatment of prostate cancer as it controls a plethora of downstream targets involved in disease progression. Previous studies indicate that compared to European-Americans, African-Americans have had higher urinary and blood cadmium levels and, have higher androgen receptor protein levels and different patterns of AR-target expression in prostate tissue. Our preliminary data (N=59) suggests that African- Americans may have higher prostate tissue cadmium levels than EuropeanAmericans. Our data also suggests that cadmium is associated with androgen receptor protein expression in prostate tumor tissue but that race modifies the association. Therefore, race differences in the association between cadmium and the androgen receptor could lead to differences in expression/signaling of downstream androgen receptor targets involved in tumor aggressiveness and disease recurrence. In this R21 study, we propose to further investigate cadmium as an endocrine disruptor of the androgen receptor by capitalizing on a well-defined, ethnically diverse cohort of prostatectomy cases (N=415, 44% AA, diagnosed 1999-2004) that originally participated in the Gene-Environment Interaction in Prostate Cancer (GECAP) (R01 ES11126) study. In prostate tumor and adjacent non- tumor tissue, 27 we will measure cadmium as well as a panel of additional toxic and essential metals that can affect cadmium toxicity. We will also measure the whole-genome transcriptome in tumor tissue. The transcriptome includes all coding and non- coding RNAs transcriptionally expressed by genes in a population of cells. We will determine whether prostate tumor tissue cadmium level is associated with androgen receptor protein expression in the larger cohort and will determine if race does indeed modify the association between cadmium and androgen receptor expression. Further, we’ll determine whether prostate tumor tissue cadmium level is associated with prostate cancer aggressiveness or biochemical recurrence. In addition, we will examine the combined association of cadmium level and androgen receptor protein expression with regard to the prostate tumor transcriptome in African – and European- Americans. From our preliminary data and other existing reports, we hypothesize that race differences in the association of cadmium and the androgen receptor result in differences in expression of downstream androgen receptor targets that play a role in disease progression, and further, that these differences may in part explain race disparities in prostate cancer progression. If our hypothesis is confirmed, the GECAP data set contains an enormous resource of demographic, clinical and medical history, dietary, occupational and genetic information to investigate variables that may explain these findings. Principal Investigator: Benjamin Rybicki, Ph.D. A Nested Case-Control Study of Prostate Carcinogenesis (NIH R01ES011126-11A1) Chronic inflammation, which is caused by infectious agents or exposure to environmental factors such as heterocyclic amines, is believed to play a role in up 20% of adult cancers. In prostate, genetic, molecular pathology, and toxicology data suggest that inflammation- related processes are involved in cancer development, but these data conflict with results of epidemiological studies that show an inverse correlation between inflammation and prostate cancer risk. This may be due to bias in the factors that lead men to undergo prostate biopsy, as well as complexity of the inflammatory phenotype itself. Our proposed study will address this paradox by dissecting inflammation at the cellular, molecular, and clinical level. The Henry Ford Health System biorepository contains benign prostate tissue specimens collected from over 9,000 men over the past 20 years, including over 1,000 men who subsequently developed prostate cancer. Using this unique cohort with its annotated clinical baseline and follow-up data, we will conduct a nested case-control study of 700 prostate cancer casecontrol pairs. Characterizing inflammatory markers in these pre-disease specimens will allow us to determine the nature of tumor- suppressive vs. tumor-supportive inflammatory signatures. We will also measure telomere length in the same benign prostate tissue specimens in which we characterize inflammation to assign a malignancy-potential signature to each specimen. Approximately 1 million prostate biopsies are performed annually in the US, twothirds of which reveal benign condition. Our cohort includes a large group of patients who are at high risk of prostate cancer despite a negative biopsy. An in-depth characterization of inflammation in the benign prostate, before histologic signs of malignancy become apparent, will provide insight into the type of inflammatory milieu associated with eventual tumor development as well as cancer progression and recurrence. A better understanding of the clinical implications of chronic inflammation of the prostate so often observed in older men can have significant impact upon millions of men where currently a negative biopsy offers little reassurance in terms of prostate cancer outcomes. 28 Principal Investigator: Ganesa Wegienka, Ph.D. Epidemiology of Allergic Disease Endotypes (NIH R01AI110450-01A1) Pediatric allergy and asthma are a costly public health burden, but so far substantial research efforts have yielded no prevention strategies. A likely reason is that despite longstanding recognition by the medical community that the term ‘asthma’ refers to a collection of diseases, researchers have historically treated the syndrome as a single disease entity. Epidemiologically, the collapse of different phenotypes (observed disease patterns) and endotypes (phenotypes further delineated by pathophysiological processes), into a single category corrupts associations between risk factors and diseases. Thus, progress in allergic disease research has been hampered. Prior attempts have been made to identify such phenotypes and endotypes, but a combination of incomplete data and oversimplified statistical methods have limited progress.We propose to apply sophisticated latent class analyses in a large general risk cohort combined with immunological markers to finely discriminate asthma and allergy disease phenotypes and endotypes and then use this information to conduct risk factor analyses. Using this approach in our WHEALS birth cohort, we have already characterized four classes at age 2 years: 1) Low to No Sensitization; 2) Highly Sensitized; 3) Milk and Egg Dominated Sensitization; and 4) Peanut and/or Inhalant allergen – No Milk Sensitization. Total IgE levels varied between the groups, as did the rates of eczema and doctor diagnosis of asthma (at age 4 years). The Highly Sensitized had the greatest rates, the Low to No Sensitization had the lowest rates, and the other two classes had rates intermediate between the Low and High Sensitization groups. These data suggest the use of latent classes, rather than the use of the “traditional” definition of atopy (any allergen-specific IgE (sIgE) _0.35 IU/mL), more specifically identifies those on a trajectory for allergic disease, yielding advancement in both allergic disease research and clinical care. Using the predominantly (62%) African American birth cohort WHEALS, we will: Aim 1) Determine which early life allergic disease phenotypes identified at age 2 years are associated with lung function (spirometry and methacholine challenge) at age 10 years; Aim 2) a) Identify the allergic disease endotypes for 10 year old children based on annual report of wheeze; lung function, eNO, obesity, cytokines, and white cell counts and extensive immunophenotyping [assessment of cellular markers to identify and quantify activation of regulatory T cells (Tregs), basophils and dendritic cells (DCs)] at age 10 years; and total IgE and sensitization (sIgE and skin prick tests) at ages 2 and 10 years; and, b) Estimate associations between early life risk factors (e.g., delivery type, pet exposure, etc.) and the identified Aim 2a endotypes; and, 3) Compare and contrast the risk factor associations with the endotypes in Aim 2 to the risk factor associations determined using “traditional” definitions of atopy and asthma (doctor diagnosis and medication use and/or symptoms in the last year). Analyses will be performed for all 900 WHEALS cohort children and separately for Black children and White children to assess racial differences. 29 Administration 1. Fujita S, Conway WA, Sicklesteel JM, Wittig RM, Zorick FJ, Roehrs TA, Roth T. Evaluation of the effectiveness of uvulopalatopharyngoplasty. The Laryngoscope. Jun 2015;125(6):1273-1277. PMID: 25990917. 2. 3. Schlichting NM. Unconventional leadership: What Henry Ford and Detroit taught me about reinvention and diversity. Bibliomotion. 2015 PMID: Book- Not assigned. Schlichting NM, Kash BA. Interview With Nancy M. Schlichting, FACHE, CEO of Henry Ford Health System. Journal of healthcare management / American College of Healthcare Executives. Nov-Dec 2015;60(6):381-385. PMID: 26720980. Allergy and Immunology 1. Bobbitt K, Levin AM, Havstad S, Sitarik AR, Fujimura K, Woodcroft KJ, Wegienka GR, Zoratti EM, Cassidy-Bushrow A, Kim H, Boushey Jr HA, Ownby D, Johnson CC, Lukacs NW, Lynch SV. Influence of infant gut microbiome on development of infant regulatory T cells. J Allergy Clin Immunol. 2015;135(2):AB102. PMID: Not assigned. 2. 3. 4. 5. Esquivel AT, Gergen PJ, Gruchalla RS, Kattan M, Kim H, Lebeau P, Liu AH, Pongracic JA, Teach SJ, West JB, Wildfire J, Gern JE. Rhinovirus species and asthma exacerbations in innercity children. J Allergy Clin Immunol. 2015;135(2):AB162. PMID: Not assigned. Fujimura KE, Sitarik AR, Havstad S, Panzer AR, Boushey HA, Lukacs NW, Wegienka GR, Woodcroft KJ, Zoratti EM, Ownby DR, Levin AM, Johnson CC, Lynch SV. Development of childhood atopy is associated with early-life gut microbial enterotypes. Am J Respir Crit Care Med. 2015;191 PMID: Not assigned. Havstad S, Johnson CC, Kim H, Levin AM, Zoratti EM, Joseph CL, Ownby DR, Wegienka G. Atopic phenotypes identified with latent class analyses at age 2 years. J Allergy Clin Immunol. Sep 2014;134(3):722-727 e722. PMID: 24636082. Johnson CC, Havstad S, Zoratti EM, Fujimura K, Sitarik AR, Kim H, Cassidy-Bushrow A, Bobbitt K, Lukacs NW, Woodcroft KJ, Boushey HA, Ownby DR, Wegienka GR, Levin AM, Lynch SV. Maternal and birth chracterestics are associated with infant gut microbial composition. J Allergy Clin Immunol. 2015;135(2):AB154. PMID: 6. Jones KJ, Sitarik AR, Fujimura K, Johnson CC, Havstad S, Kim H, Cassidy-Bushrow A, Bobbitt K, Lukacs NW, Woodcroft KJ, Zoratti EM, Levin AM, Wegienka GR, Lynch SV, Boushey Jr HA, Ownby DR. Breastfeeding is associated with infant gut microbial composition. Journal of Allergy and Clinical Immunology. 2015;135(2):AB169. PMID: Not assigned. 7. Joseph CL, Lu M, Stokes-Bruzzelli S, Johnson DA, Duffy E, Demers M, Zhang T, Ownby DR, Zoratti E, Mahajan P. Initiating an online asthma management program in urban emergency departments: the recruitment experience. Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology. Jan 2016;116(1):4348. PMID: 26596405. 30 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. Levin AM, Havstad S, Sitarik AR, Joseph CLM, Fujimura K, Wegienka GR, Zoratti EM, Kim H, Johnson CC, Boushey Jr HA, Lynch SV, Ownby DR. Association of the infant gastrointestinal microbiome with nocturnal symptoms in children with asthma. J Allergy Clin Immunol. 2015;135(2):AB273. PMID: Not assigned. Ownby DR, Sitarik AR, Fujimura K, Havstad S, Kim H, Bobbitt K, Woodcroft KJ, Zoratti EM, Lukacs NW, Boushey Jr HA, Levin AM, Lynch SV, Johnson CC. Infant gut microbial composition alters IgE response to tetanus toxoid immunization. J Allergy Clin Immunol. 2015;135(2):AB273. PMID: Not assigned. Schmidlin K, Verzwyvelt J, Bernstein D, Kim H. Probable delayed-type hypersensitivity to nickel-containing cerebral aneurysm clip associated with neurologic deficits. The journal of allergy and clinical immunology. In practice. Mar 14 2015 PMID: 25783162. 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J Diabetes Complications. Apr 16 2015 PMID: 25936953. Teshale EH, Xing J, Moorman AC, Holmberg SD, Gordon SC, Rupp LB, Lu M, Spradling PR, Boscarino JA, Trinacty CM, Schmidt MA, Xu F. Effect of HCV treatment outcome on hospitalization rate: Chronic hepatitis cohort study (CHECS). Hepatology (Baltimore, Md.). 2015;62:215A. PMID: Not assigned. Waage JE, Standl M, Paternoster L, Tian C, James A, Granell R, Bunyavanich S, Myers R, Kreiner-Møller E, Palviainen T, Den Dekker M, Ruschendorf F, Barreto-Luis A, Ahluwalia T, Vilor-Tejedor N, Curtin J, Alves A, Abdellaoui A, Wang C, Levin A, Kaprio J, Lee YA, Brüske I, Flores C, Nohr E, Sunyer J, Boomsma D, Pennel C, Williams K, Weiss S, Simpson A, Custovic A, Ferreira M, Duijts L, Jarvelin MR, Ober C, Henderson J, Hinds D, Strachan D, Bisgaard H, Bønnelykke K. A genome-wide association study of allergic rhinitis in 216 361 individuals identifies several novel susceptibility loci and increases knowledge on genetic pathways and cell types involved in disease etiology. Allergy: European Journal of Allergy and Clinical Immunology. 2015;70:108. PMID: Not assigned. Xu F, Moorman AC, Tong X, Gordon SC, Rupp LB, Lu M, Teshale EH, Spradling PR, Boscarino JA, Trinacty CM, Schmidt MA, Holmberg SD. All-cause mortality and progression risks to hepatic decompensation and hepatocellular carcinoma in patients infected with hepatitis C. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. Sep 28 2015 PMID: 26417034. Xu F, Xing J, Moorman AC, Gordon SC, Rupp LB, Lu M, Spradling PR, Teshale EH, Boscarino JA, Schmidt MA, Trinacty CM, Holmberg SD. Liver fibrosis stage and comorbidities in persons with diagnosed hepatitis c infection, chronic hepatitis cohort study (CHECS). Hepatology (Baltimore, Md.). 2015;62:1085A-1086A. PMID: Not assigned. Xu F, Xing J, Moorman AC, Rupp LB, Gordon SC, Lu M, Teshale EH, Spradling PR, Boscarino JA, Trinacty CM, Schmidt MA, Holmberg SD. Cause of death in HCV patients who achieved sustained virologic response: Chronic hepatitis cohort study (CHECS), 2006-2012. Hepatology (Baltimore, Md.). 2015;62:1080A. PMID: Not assigned. Yessayan L, Shafiq A, Peterson E, Wells K, Hu Y, Williams LK, Lanfear D. Race, calcineurin inhibitor exposure, and renal function after solid organ transplantation. Transplantation proceedings. Dec 2015;47(10):2968-2972. PMID: 26707323. Community Care Services 1. Arena SK, Rataj J, Thompson M, Peterson EL, Bennis S. Medications and fall risk indicators among patients case-managed by physical therapists. Home healthcare now. Feb 2015;33(2):96-102. PMID: 25654458. Dermatology 1. Al-Hadidi N, Griffith JL, Al-Jamal MS, Hamzavi I. Role of recipient-site preparation techniques and post-operative wound dressing in the surgical management of vitiligo. J Cutan Aesthet Surg. Apr-Jun 2015;8(2):79-87. PMID: 26157306. 56 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. Al-Jamal MS, Griffith JL, Lim HW. Photoprotection in ethnic skin. Dermatologica Sinica. Dec 2014;32(4):217-224. PMID: Not assigned. Almutawa F, Thalib L, Hekman D, Sun Q, Hamzavi I, Lim HW. Efficacy of localized phototherapy and photodynamic therapy for psoriasis: a systematic review and metaanalysis. Photodermatology, photoimmunology & photomedicine. Jan 2015;31(1):5-14. PMID: 24283358. Anthony D, Kohen LL. Pulsatile nodule on the ventral wrist. J Am Acad Dermatol. Oct 2015;73(4):E129-E130. PMID: Not assigned. Asgari MM, Eide MJ, Warton M, Fletcher SW. Comparing characteristics of melanoma cases arising in health maintenance organizations with state and national registries. Melanoma Res. Aug 2014;24(4):381-387. PMID: 24858660. Barrie ES, Lodder M, Weinreb PH, Buss J, Rajab A, Adin C, Mi QS, Hadley GA. Role of ITGAE in the development of autoimmune diabetes in non-obese diabetic mice. The Journal of endocrinology. Mar 2015;224(3):235-243. PMID: 25525188. Bhatt K, Wei Q, Pabla N, Dong G, Mi QS, Liang M, Mei C, Dong Z. Microrna-687 induced by hypoxia-inducible factor-1 targets phosphatase and tensin homolog in renal ischemiareperfusion injury. Journal of the American Society of Nephrology : JASN. Jan 13 2015 PMID: 25587068. Brescoll J, Daveluy S. A review of vitamin B12 in dermatology. American journal of clinical dermatology. Feb 2015;16(1):27-33. PMID: 25559140. Burns EM, Shaheen A, Muzaffar A, Al-Sadek C, Foy T, Abdelgawwad M, Huda S, Isedeh PN, Kumar R, Ptacek T, Lim HW, Hamzavi IH, Morrow CD, Elmets CA, Yusuf N. Ultraviolet radiation, both UVA and UVB, influences the composition of the skin microbiome. J. Invest. Dermatol. 2015;135:S100. PMID: Not assigned. Charlton ME, Sapkota K, Eide MJ, Olson DB, McKeen K, Platz CE, Schlichting JA, Lynch CF. What increased registry outreach may mean for cutaneous melanoma surveillance: impact of changes in Iowa. J Registry Manag. Winter 2014;41(4):201-208. PMID: 25803634. Choudhry S, Pimental J. Multiple epidermoid cysts arising within red tattoo ink: A case report. J Am Acad Dermatol. May 2015;72(5):AB54-AB54. PMID: Not assigned. Choudhry SZ, Kashat M, Lim HW. Vancomycin-induced linear IgA bullous dermatosis demonstrating the isomorphic phenomenon. Int J Dermatol. Jul 30 2015 PMID: 26227580. Connolly KL, Albertini JG, Miller CJ, Ozog DM. The suspension (frost) suture: experience and applications. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]. Mar 2015;41(3):406-410. PMID: 25738444. Connolly KL, Griffith JL, McEvoy M, Lim HW. Ultraviolet A1 phototherapy beyond morphea: experience in 83 patients. Photodermatology, photoimmunology & photomedicine. Jun 6 2015 PMID: 26052743. 57 15. Davis RL, Gallagher MA, Asgari MM, Eide MJ, Margolis DJ, Macy E, Burmester JK, Selvam N, Boscarino JA, Cromwell LF, Feigelson HS, Kuntz JL, Pawloski PA, Penfold RB, Raebel MA, Sridhar G, Wu A, La Grenade LA, Pacanowski MA, Pinheiro SP. Identification of StevensJohnson syndrome and toxic epidermal necrolysis in electronic health record databases. Pharmacoepidemiology and drug safety. Apr 24 2015 PMID: 25914229. 16. DePry J, Brescoll J, Szczotka-Flynn L, Rambhatla P, Lim HW, Cooper K. Phototherapy-related ophthalmologic disorders. Clinics in dermatology. Mar-Apr 2015;33(2):247-255. PMID: 25704945. 17. Desai SR, Frieden IJ, Gelfand JM, High W, Kavanaugh A, Marghoob AA, Ozog DM, Rosen T, Stein Gold L, Bruce S, Swanson N, Martin G. Updates on psoriasis and cutaneous oncology: Proceedings from the 2015 mauiderm meeting. J Clin Aesthet Dermatol. Sep 2015;8(9 Suppl):S4-S26. PMID: 26504503. 18. 19. 20. 21. 22. 23. 24. 25. Draelos ZD, Gold LFS, Murrell DF, Hughes M, Zane L. Post-hoc analyses of the effect of AN2728 topical ointment, 2% on atopic dermatitis-associated pruritus. J. Invest. Dermatol. Aug 2015;135(8):S2-S2. PMID: Not assigned. Eichenfield LF, Del Rosso JQ, Mancini AJ, Cook-Bolden F, Stein Gold L, Desai S, Weiss J, Pariser D, Zeichner J, Bhatia N, Kircik L. Evolving perspectives on the etiology and pathogenesis of acne vulgaris. Journal of drugs in dermatology : JDD. Mar 1 2015;14(3):263268. PMID: 25738848. Eleftheriadou V, Thomas K, van Geel N, Hamzavi I, Lim H, Suzuki T, Katayama I, Anbar T, Abdallah M, Benzekri L, Gauthier Y, Harris J, Silva de Castro CC, Pandya A, Goh BK, Lan CC, Oiso N, Al Issa A, Esmat S, Le Poole C, Lee AY, Parsad D, Taieb A, Picardo M, Ezzedine K. Developing core outcome set for vitiligo clinical trials: international e-Delphi consensus. Pigment cell & melanoma research. Jan 21 2015 PMID: 25645179. Ezzedine K, Sheth V, Rodrigues M, Eleftheriadou V, Harris JE, Hamzavi IH, Pandya AG. Vitiligo is not a cosmetic disease. J Am Acad Dermatol. Nov 2015;73(5):883-885. PMID: 26475548. Fahs F, Bi X, Yu FS, Zhou L, Mi QS. New insights into microRNAs in skin wound healing. IUBMB life. Nov 23 2015 PMID: 26596866. Friedman BJ, Kohen LL. A case of pigmented penile intraepithelial neoplasia: Dermoscopic and clinicohistopathologic analysis. J Am Acad Dermatol. Jan 2015;72(1):S71-S72. PMID: 25500051. Friedman BJ, McHargue CA, Nauss MD. Peripheral T-cell lymphoma, not otherwise specified with prominent cutaneous involvement. Indian J Dermatol Venereol Leprol. Aug 11 2015 PMID: 26261131. Friedman BJ, Pimentel JD, Ozog DM. Achieving optimal en face tissue sections during staged lentigo maligna excisions: A novel technique. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]. Nov 2015;41(11):13321335. PMID: 26458039. 58 26. Gill L, Jacobsen G, Krajenta R, Lim HW, Hamzavi IH, Eide MJ. Incidence of skin cancer in a cohort of 1278 patients with vitiligo, 2001-2013. J. Invest. Dermatol. May 2015;135:S49-S49. PMID: Not assigned. 27. Gill L, Rambhatla P, Kohen L. Medial calcific arteriosclerosis mimicking giant cell arteritis. J Am Acad Dermatol. May 2015;72(5):AB149-AB149. PMID: Not assigned. 28. 29. Gill L, Wang S, Mancebo SE, Lim HW, Kohen LL. Dermoscopic features of acral melanocytic nevi in patients with skin types V and VI: A cross-sectional study. J Am Acad Dermatol. Dec 2015;73(6):1059-1061. PMID: 26568340. Gill L, Zarbo A, Isedeh P, Jacobsen G, Lim HW, Hamzavi I. Comorbid autoimmune diseases in a cohort of patients with vitiligo. J Am Acad Dermatol. May 2015;72(5):AB219AB219. PMID: Not assigned. 30. Gill L, Zarbo A, Isedeh P, Jacobsen G, Lim HW, Hamzavi I. Comorbid autoimmune diseases in patients with vitiligo: A cross-sectional study. J Am Acad Dermatol. Oct 27 2015 PMID: 26518171. 31. Giordano CN, Nelson J, Kohen LL, Nijhawan R, Srivastava D. Local anesthesia: Evidence, strategies, and safety. Curr Dermatol Rep. 2015;4(3):97-104. PMID: Not assigned. 32. 33. 34. 35. 36. 37. 38. 39. Giordano CN, Ozog D. Microstructural and molecular considerations in the treatment of scars with ablative fractional lasers. Semin Cutan Med Surg. Mar 2015;34(1):7-12. PMID: 25922951. Gold LFS. What's new in acne. Semin Cutan Med Surg. Jun 2015;34:S72-S74. PMID: Not assigned. Gold LM, Draelos ZD. New and emerging treatments for rosacea. American journal of clinical dermatology. Sep 22 2015 PMID: 26396117. Gupta G, Daigle D, Gupta AK, Gold LS. Ivermectin 1% Cream for Rosacea. Skin Therapy Lett. Aug 2015;20(4):9-11. PMID: 26382711. Hamzavi IH, Griffith JL, Riyaz F, Hessam S, Bechara FG. Laser and light-based treatment options for hidradenitis suppurativa. J Am Acad Dermatol. Nov 2015;73(5 Suppl 1):S78-81. PMID: 26470622. Hawkins DM, Jacobsen G, Johnson CC, Lim HW, Eide MJ. Self-reported quality of life after skin cancer in young adults. J Dermatolog Treat. Aug 2015;26(4):357-360. PMID: 25490454. Isedeh P, Issa AA, Lim HW, Mulekar SS, Mulekar SV. Uncommon responses of segmental vitiligo to melanocyte-keratinocyte transplantation procedure. Journal of cutaneous medicine and surgery. Mar 11 2015 PMID: 25775633. Isedeh P, Kohli I, Al-Jamal M, Agbai ON, Chaffins M, Devpura S, Mahan M, Vanderover G, Lim HW, Matsui MS, Hamzavi IH. An in vivo model for postinflammatory 59 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. hyperpigmentation: an analysis of histological, spectroscopic, colorimetric and clinical traits. Br J Dermatol. Dec 13 2015 PMID: 26663029. Jiang AJ, Eide MJ, Alexander GL, Altschuler A, Asgari MM, Geller AC, Fletcher SW, Halpern AC, Weinstock MA. Providers' experiences with a melanoma web-based course: A discussion on barriers and intentions. J Cancer Educ. Sep 22 2015 PMID: 26391994. Jiang AJ, Rambhatla PV, Eide MJ. Socioeconomic and lifestyle factors and melanoma: a systematic review. Br J Dermatol. Apr 2015;172(4):885-915. PMID: 25354495. Jones LR, Young W, Divine G, Datta I, Chen KM, Ozog D, Worsham MJ. Genome-wide scan for methylation profiles in keloids. Dis Markers. 2015;2015:943176. PMID: 26074660. Kannan S, Kerr H. A case of generalized scleromyxedema that responded to IVIG monotherapy. J Am Acad Dermatol. May 2015;72(5):AB35-AB35. PMID: Not assigned. Kohli I, Isedeh P, Al-Jamal M, DaSilva D, Batson A, Canfield D, Kollias N, Lim HW, Hamzavi I. Three-dimensional imaging of vitiligo. Exp Dermatol. Jun 28 2015 PMID: 26119511. Kohli I, Veenstra J, Hamzavi I. Vitiligo assessment methods - vitiligo area scoring index and vitiligo European task force assessment. Br J Dermatol. Feb 2015;172(2):318-319. PMID: 25660679. Langendonk JG, Balwani M, Anderson KE, Bonkovsky HL, Anstey AV, Bissell DM, Bloomer J, Edwards C, Neumann NJ, Parker C, Phillips JD, Lim HW, Hamzavi I, Deybach JC, Kauppinen R, Rhodes LE, Frank J, Murphy GM, Karstens FP, Sijbrands EJ, de Rooij FW, Lebwohl M, Naik H, Goding CR, Wilson JH, Desnick RJ. Afamelanotide for erythropoietic protoporphyria. N Engl J Med. Jul 2 2015;373(1):48-59. PMID: 26132941. Leonardi C, Bagel J, Yamauchi P, Pariser D, Xu ZY, Olesen M, Oesterdal L, Gold LS. Efficacy and safety of an innovative aerosol foam formulation of the fixed combination calcipotriene plus betamethasone dipropionate in patients with psoriasis-the PSO-FAST study. J Am Acad Dermatol. May 2015;72(5):AB232-AB232. PMID: Not assigned. Li C, Li Z, Liu S, Wang C, Han L, Cui L, Zhou J, Zou H, Liu Z, Chen J, Cheng X, Zhou Z, Ding C, Wang M, Chen T, Cui Y, He H, Zhang K, Yin C, Wang Y, Xing S, Li B, Ji J, Jia Z, Ma L, Niu J, Xin Y, Liu T, Chu N, Yu Q, Ren W, Wang X, Zhang A, Sun Y, Wang H, Lu J, Li Y, Qing Y, Chen G, Wang Y, Zhou L, Niu H, Liang J, Dong Q, Li X, Mi QS, Shi Y. Genome-wide association analysis identifies three new risk loci for gout arthritis in Han Chinese. Nature communications. 2015;6:7041. PMID: 25967671. Lim HW, Grimes PE, Lebwohl M. Indications and limitations of afamelanotide for treating vitiligo-reply. JAMA dermatology. Mar 2015;151(3):350. PMID: 25607828. Lim HW, Silpa-Archa N, Amadi U, Menter A, Van Voorhees AS, Lebwohl M. Phototherapy in dermatology: A call for action. J Am Acad Dermatol. Jun 2015;72(6):1078-1080. PMID: 25981004. 60 51. 52. 53. 54. 55. 56. LoPiccolo MC. Rotation flaps-principles and locations. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]. Oct 2015;41 Suppl 10:S247-254. PMID: 26418690. Madigan LM, Al-Jamal M, Hamzavi I. Exploring the gaps in the evidenced-based application of narrowband-UVB for the treatment of vitiligo. Photodermatology, photoimmunology & photomedicine. Dec 10 2015 PMID: 26662644. Mahmoud BH, Burnett C, Ozog D. Prospective randomized controlled study to determine the effect of topical application of botulinum toxin a for crow's feet after treatment with ablative fractional co2 laser. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]. Jan 2015;41 Suppl 1:S75-81. PMID: 25548849. Mohammad TF, Burkhart CG. Acne therapeutics: A closer look at benzoyl peroxide. Skinmed. Mar-Apr 2015;13(2):94-96. PMID: 26137733. Nair R, Stuart P, Tsoi L, Ellinghaus E, Walsh J, Chandran V, Tejasvi T, Esko T, Duffin K, Ike R, Bowcock A, Voorhees J, Lim H, Weichenthal M, Franke A, Rahman P, Krueger G, Abecasis G, Gladman D, Elder J. Genome-wide association analysis of psoriatic arthritis. Br J Dermatol. Dec 2014;171(6):E111-E111. PMID: Not assigned. Novice K, Rambhatla P, Shwayder T. Development of sinus tracts within a connective tissue nevus. J Am Acad Dermatol. May 2015;72(5):AB199-AB199. PMID: Not assigned. 57. Olsen EA, Hodak E, Anderson T, Carter JB, Henderson M, Cooper K, Lim HW. Guidelines for phototherapy of mycosis fungoides and Sezary syndrome: A consensus statement of the United States Cutaneous Lymphoma Consortium. J Am Acad Dermatol. Nov 4 2015 PMID: 26547257. 58. Ozog DM, Moy RL. Discussing fractional carbon dioxide laser and other physical treatments for scar prevention with patients. JAMA dermatology. May 6 2015 PMID: 25946625. 59. 60. 61. 62. 63. 64. Patel D, Jahnke M, Shwayder T. Harlequin ichthyosis. J Am Acad Dermatol. May 2015;72(5):AB200-AB200. PMID: Not assigned. Patel D, Jahnke MN. Serious complications from staphylococcal aureus in atopic dermatitis. Pediatr Dermatol. Sep 4 2015 PMID: 26337792. Porto DA, Kohen LL. Pulsatile nodule on the ventral wrist. J Am Acad Dermatol. Oct 2015;73(4):e129-130. PMID: 26369849. Porto DA, Ozog DM. The utility of dermoscopy in directing laser therapy. Lasers in surgery and medicine. Nov 6 2015 PMID: 26547045. Rambhatla PV, Brescoll J, Hwang F, Juzych M, Lim HW. Photosensitive disorders of the skin with ocular involvement. Clinics in dermatology. Mar-Apr 2015;33(2):238-246. PMID: 25704944. Riyaz FR, Ozog D. Hand rejuvenation. Semin Cutan Med Surg. Sep 2015;34(3):147-152. PMID: Not assigned. 61 65. 66. 67. 68. 69. 70. 71. 72. 73. 74. Rosen T, Friedlander SF, Kircik L, Zirwas MJ, Stein Gold L, Bhatia N, Gupta AK. Onychomycosis: epidemiology, diagnosis, and treatment in a changing landscape. Journal of drugs in dermatology : JDD. Mar 1 2015;14(3):223-228. PMID: 25738843. Saunte DM, Boer J, Stratigos A, Szepietowski JC, Hamzavi I, Kim KH, Zarchi K, Antoniou C, Matusiak L, Lim HW, Williams M, Kwon HH, Gurer MA, Mammadova F, Kaminsky A, Prens E, van der Zee HH, Bettoli V, Zauli S, Hafner J, Lauchli S, French LE, Riad H, El-Domyati M, Abdel-Wahab H, Kirby B, Kelly G, Calderon P, Del Marmol V, Benhadou F, Revuz J, Zouboulis CC, Karagiannidis I, Sartorius K, Hagstromer L, McMeniman E, Ong N, Dolenc-Voljc M, Mokos ZB, Borradori L, Hunger RE, Sladden C, Scheinfeld N, Moftah N, Emtestam L, Lapins J, Doss N, Kurokawa I, Jemec GB. Diagnostic Delay in Hidradenitis Suppurativa is a Global Problem. Br J Dermatol. Jul 21 2015 PMID: 26198191. Serrano L, Jerdan K, Choudhry S, Hernandez C. Dermatoscopic patterns observed in acral nevi among 3 ethnic groups. J Am Acad Dermatol. May 2015;72(5):AB44-AB44. PMID: Not assigned. Shwayder T, Rambhatla P, Novice K. Development of sinus tracts within a connective tissue nevus. Pediatr Dermatol. Sep 4 2015 PMID: 26337925. Silpa-Archa N, Griffith JL, Williams M, Lim HW, Hamzavi IH. Prospective comparison of recipient site preparation with fractional carbon dioxide (co ) laser versus dermabrasion and recipient site dressing composition in melanocyte- keratinocyte transplantation procedure (mktp) in vitiligo: A preliminary study. Br J Dermatol. Sep 26 2015 PMID: 26409069. Silpa-Archa N, Kohli I, Al-Jamal M, Hamzavi I. Automated melasma area and severity index scoring. Br J Dermatol. Jun 2015;172(6):1476. PMID: 26036153. Stein Gold L. Topical treatments in acne vulgaris: Guidance for the busy dermatologist. Journal of drugs in dermatology : JDD. Jun 1 2015;14(6):567-572. PMID: 26091381. Stein Gold L. Treatment of rosacea: Expert insight on trends and best practice. Journal of drugs in dermatology : JDD. Jun 1 2015;14(6):546-547. PMID: 26091377. Stuart PE, Nair RP, Tsoi LC, Tejasvi T, Das S, Kang HM, Ellinghaus E, Chandran V, CallisDuffin K, Ike R, Li Y, Wen X, Enerback C, Gudjonsson JE, Koks S, Kingo K, Esko T, Mrowietz U, Reis A, Wichmann HE, Gieger C, Hoffmann P, Nothen MM, Winkelmann J, Kunz M, Moreta EG, Mease PJ, Ritchlin CT, Bowcock AM, Krueger GG, Lim HW, Weidinger S, Weichenthal M, Voorhees JJ, Rahman P, Gregersen PK, Franke A, Gladman DD, Abecasis GR, Elder JT. Genome-wide Association Analysis of Psoriatic Arthritis and Cutaneous Psoriasis Reveals Differences in Their Genetic Architecture. American journal of human genetics. Dec 3 2015;97(6):816-836. PMID: 26626624. Veenstra JJ, Choudhry S, Krajenta RJ, Eide MJ. Squamous cell carcinoma originating from cutaneous cysts: The Henry Ford Experience and review of the literature. J Dermatolog Treat. Jun 24 2015:1-4. PMID: 26105203. 62 75. 76. 77. 78. 79. 80. 81. 82. 83. 84. 85. 86. Vyas NS, Kannan S, M NJ, Hu RH, Choate KA, Shwayder TA. Congenital ichthyosiform erythroderma superimposed with chronic dermatophytosis: A report of three siblings. Pediatr Dermatol. Dec 8 2015 PMID: 26645853. Vyas NS, Lawrence KL, Griffith JL, Hamzavi IH. Autologous, Noncultured Epidermal Cell Suspension Grafting in the Management of Mechanically and Chemically Induced Leukodermic Scars. Journal of cutaneous medicine and surgery. Apr 7 2015 PMID: 25851083. Waibel JS, Mi QS, Ozog D, Qu L, Zhou L, Rudnick A, Al-Niaimi F, Woodward J, Campos V, Mordon S. Laser-assisted delivery of vitamin C, vitamin E, and ferulic acid formula serum decreases fractional laser postoperative recovery by increased beta fibroblast growth factor expression. Lasers in surgery and medicine. Nov 27 2015 PMID: 26612341. Wang SQ, Virmani P, Lim HW. Consumer acceptability and compliance: The next frontier in sunscreen innovation. Photodermatology, photoimmunology & photomedicine. Sep 26 2015 PMID: 26409211. Weiss J, Gold LS, Tanghetti E, Bouvresse S, Yao M, Dujols C, Leoni M. Efficacy and safety of adapalene 0.3%/benzoyl peroxide 2.5% topical gel in moderate and severe acne vulgaris. J Am Acad Dermatol. May 2015;72(5):AB7-AB7. PMID: Not assigned. Weiss J, Stein-Gold L, Tanghetti E, Dujols C, Leoni M, Downs T. Adapalene 0.3%/benzoyl peroxide 2.5% topical gel: efficacy and safety in moderate and severe acne vulgaris. Br J Dermatol. Jul 2015;173:66-66. PMID: Not assigned. Werner RN, Stockfleth E, Connolly SM, Correia O, Erdmann R, Foley P, Gupta AK, Jacobs A, Kerl H, Lim HW, Martin G, Paquet M, Pariser DM, Rosumeck S, Rowert-Huber HJ, Sahota A, Sangueza OP, Shumack S, Sporbeck B, Swanson NA, Torezan L, Nast A. Evidence- and consensus-based (s3) guidelines for the treatment of actinic keratosis - international league of dermatological societies in cooperation with the european dermatology forum - short version. J Eur Acad Dermatol Venereol. Sep 14 2015 PMID: 26370093. 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Shock in the first 24 h of intensive care unit stay: Observational study of protocol-based fluid management. Shock. Sep 2015;44(3):288-289. PMID: 26274366. Jaehne AK, Salem D, Domecq Garces J. Early goal-directed therapy in the treatment of sepsis: the times have changed but not the therapy and benefit to patients. Intensive Care Med. Jul 7 2015 PMID: 26149299. 68 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. Jain T, Liroff MG, Turfe T, Han R, Martin K, Aslam A, Kansagra J, Obi C, Rabbani B. Young patient with chest pain, st elevation, elevated troponin but with normal coronary arteries. J Gen Intern Med. 2015;30:S482. PMID: Not assigned. Joseph CL, Lu M, Stokes-Bruzzelli S, Johnson DA, Duffy E, Demers M, Zhang T, Ownby DR, Zoratti E, Mahajan P. Initiating an online asthma management program in urban emergency departments: the recruitment experience. Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology. Nov 17 2015 PMID: 26596405. Joyce D, Klausner HA, Servetter D, Falvo A, Baliga S, Oddo M, Fasbinder B, Timon J, Valler E. Fireworks injury patterns in southeast michigan. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 2015;22(5):S268. PMID: Not assigned. Koppisetty S, Smith AG, Dhillon RK. Incidental finding of inferior vena cava atresia presenting with deep venous thrombosis following physical exertion. Case reports in emergency medicine. 2015;2015:146304. PMID: 26640723. Lahham S, Rooney K, Sloane B, Fox JC. Prehospital assessment with ultrasound in emergencies-pause II. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 2015;22(5):S227. PMID: Not assigned. Levy PD, Mahn JJ, Miller J, Shelby A, Brody A, Davidson R, Burla MJ, Marinica A, Carroll J, Purakal J, Flack JM, Welch RD. Blood pressure treatment and outcomes in hypertensive patients without acute target organ damage: a retrospective cohort. Am J Emerg Med. May 30 2015 PMID: 26087706. Lewandowski C, Mays-Wilson K, Miller J, Penstone P, Miller DJ, Bakoulas K, Mitsias P. Safety and outcomes in stroke mimics after intravenous tissue plasminogen activator administration: A single-center experience. Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association. Jan 2015;24(1):48-52. PMID: 25440358. Lewandowski C, Miller J, Rodriquez L, Suszanski J, Levely J. Intravascular volume delpetion in hypertensive ED stroke patients. Stroke. 2015;46 PMID: Not assigned. Linnstaedt SD, Walker MG, Parker JS, Yeh E, Sons RL, Zimny E, Lewandowski C, Hendry PL, Damiron K, Pearson C, Velilla MA, O'Neil BJ, Jones J, Swor R, Domeier R, Hammond S, McLean SA. 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Vancomycin-induced acute generalized exanthematous pustulosis (AGEP) masquerading septic shock-an unusual presentation of a rare disease. Journal of intensive care. 2015;3:47. PMID: 26561525. Miller J, Lieberman L, Nahab B, Hurst G, Gardner-Gray J, Lewandowski A, Natsui S, Watras J. Delayed intracranial hemorrhage in the anticoagulated patient: A systematic review. J Trauma Acute Care Surg. Aug 2015;79(2):310-313. PMID: 26218702. Miller J, Nahab B, Thompson R, Ben-Ze'ev J, Wu E, Levy P. Cerebral autoregulation and rapid blood pressure lowering in the ED. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 2015;22(5):S249-S250. PMID: Not assigned. Miller JB, Heitsch L, Siket MS, Schrock JW, Wira CR, 3rd, Lewandowski C, Madsen TE, Merck LH, Wright DW. The emergency medicine debate on tpa for stroke: What is best for our patients? Efficacy in the first three hours. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. Jun 25 2015 PMID: 26113369. Morales R, Rodriguez L, Singh A, Stratta E, Mendoza L, Valerio MA, Vela M. National survey of medical Spanish curriculum in U.S. medical schools. J Gen Intern Med. Apr 11 2015 PMID: 25862190. Nauss M, Mucha J, Schultz L. Emergency medicine malpractice claims: One medical group's experience. Ann Emerg Med. 2015;66(4):S19. PMID: Not assigned. Noll S, Alvey H, Jayaprakash N, Paranjpe A, Miller J, Nowak R. ECG triage creep: So little return for so much effort! Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 2015;22(5):S66. PMID: Not assigned. Nowak RM, McCord J, Body R, Giannitsis E, Christ M, Verschuren F, Christenson R, Dilba P, Bendig G, Mueller C, Investigators T-A. High sensitivity troponin measurements in patients with acute non-cardiac and unknown origin diagnoses: Results form the TRAPID-AMI trial. European heart journal. Aug 2015;36:7-8. PMID: Not assigned. Nowak RM, McCord J, Body R, Giannitsis E, Dilba P, Christ M, Lindahl B, French JK, Jernberg T, De Filippi CR, Christenson RH, Verschuren F, Jacobsen G, Bendig G, Mueller C. The utility of a modified heart score in emergency department chest pain patients with normal troponin measurements in predicting need for further observation and/or provocative cardiac testing. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 2015;22(5):S5. PMID: Not assigned. Nowak RM, Reed BP, Di Somma S, Nanayakkara P, Moyer M, Mills S, Sherwin R, Levy P. The hemodynamic phenotyping of acute stroke patients by cluster analysis: There are distinctly different subgroups. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 2015;22(5):S317-S318. PMID: Not assigned. Nowak RM, Reed BP, Nanayakkara P, DiSomma S, Moyer M, Mills S, Sherwin R, Levy P. Emergency department patients with confirmed sepsis present with different hemodynamic 70 49. 50. 51. monitored clusters. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 2015;22(5):S229. PMID: Not assigned. O'Brien PD, Hur J, Robell NJ, Hayes JM, Sakowski SA, Feldman EL. Gender-specific differences in diabetic neuropathy in BTBR ob/ob mice. J Diabetes Complications. Oct 3 2015 PMID: 26525588. Otero R, Hollis A, Klausner H, Suarez A. Pre-implementation evaluation of ventilator bundle and outcomes in respiratory failure patients in an urban emergency department. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 2015;22(5):S334-S335. PMID: Not assigned. Peacock W, Nowak R, Shah K, Mueller C, Xavier-Neath S, Christenson R, McCord J, Vilke G, Daniels L, Hollander J, Apple F, Cannon C, Nagurney J, Schreiber D, DeFilippi C, Hogan C, Diercks D, Limkakeng A, Anand I, Wu AHB, Clopton P, Jaffe A, Maisel A. Does copeptin provide additional risk stratification in chest pain patients with mild troponin elevations? Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 2015;22(5):S36. PMID: Not assigned. 52. Rezik M, Garbarino A, Choe G, Patel S, Tirgari S, Collins J. Aberrant behavior in chronic non-cancer pain patients prescribed schedule ii narcotics. J Gen Intern Med. 2015;30:S93. PMID: Not assigned. 53. Rivers EP, Yataco AC, Jaehne AK, Gill J, Disselkamp M. Oxygen extraction and perfusion markers in severe sepsis and septic shock: diagnostic, therapeutic and outcome implications. Curr Opin Crit Care. Oct 2015;21(5):381-387. PMID: 26348417. 54. 55. 56. 57. 58. Santra M, Chopp M, Santra S, Nallani A, Vyas S, Zhang ZG, Morris DC. Thymosin beta 4 up-regulates miR-200a expression and induces differentiation and survival of rat brain progenitor cells. J Neurochem. Oct 14 2015 PMID: 26466330. Schlichting AB, Gardner-Gray JM, Hurst G. Novel Use of Glidescope Indirect Laryngoscopy for Insertion of a Minnesota Tube for Variceal Bleeding. The Journal of emergency medicine. Mar 30 2015 PMID: 25837232. Shah KS, Marston NA, Mueller C, Neath SX, Christenson RH, McCord J, Nowak RM, Vilke GM, Daniels LB, Hollander JE, Apple FS, Cannon CM, Nagurney J, Schreiber D, deFilippi C, Hogan CJ, Diercks DB, Limkakeng A, Anand IS, Wu AH, Clopton P, Jaffe AS, Peacock WF, Maisel AS. Midregional proadrenomedullin predicts mortality and major adverse cardiac events in patients presenting with chest pain: Results from the chopin trial. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. May 2015;22(5):554-563. PMID: 25908114. Stowell JR, Vohra TT, Luber SD. Emergency medicine resident clinical hours: A national survey. The Journal of emergency medicine. Jan 24 2015 PMID: 25630475. Swanson B, Samet M, Sudasena D, Bissonette A, Willens DE, Hassan M, Nair A, Drake S. Acceptance and effectiveness of a telephonic nurse-led basal insulin titration program in an internal medicine academic patient-centered medical home. J Gen Intern Med. 2015;30:S487-S488. PMID: Not assigned. 71 59. 60. 61. 62. 63. 64. Tsalik EL, Willig LK, Rice BJ, van Velkinburgh JC, Mohney RP, McDunn JE, Dinwiddie DL, Miller NA, Mayer ES, Glickman SW, Jaehne AK, Glew RH, Sopori ML, Otero RM, Harrod KS, Cairns CB, Fowler VG, Rivers EP, Woods CW, Kingsmore SF, Langley RJ. Renal systems biology of patients with systemic inflammatory response syndrome. Kidney Int. May 20 2015 PMID: 25993322. Vohra TT, Miller JB, Nicholas KS, Varelas PN, Harsh DM, Durkalski V, Silbergleit R, Wang HE. Endotracheal intubation in patients treated for prehospital status epilepticus. Neurocritical care. Jan 27 2015 PMID: 25623785. Welch RD, Nicholas K, Durkalski-Mauldin VL, Lowenstein DH, Conwit R, Mahajan PV, Lewandowski C, Silbergleit R. Intramuscular midazolam versus intravenous lorazepam for the prehospital treatment of status epilepticus in the pediatric population. Epilepsia. Feb 2015;56(2):254-262. PMID: 25597369. Wilson SP, Dev S, Malhotra M, Mahan M, Miller J. Insurance coverage: Identifying a disparity in admission likelihood and length of stay in the emergency department. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 2015;22(5):S274. PMID: Not assigned. Wilson SP, Knych M, Iordanova R, Mahan M, Vohra T. Identifying a need for more focused treatment of chlamydia and gonorrhoea in the emergency department. Int J STD AIDS. Sep 21 2015 PMID: 26394998. Wilson SP, Mahan M, Krupp S. Employment in the urban emergency department: A potential increased occupational hazard for sharp-related injuries. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 2015;22(5):S34. PMID: Not assigned. 65. Wilson SP, Miller J, Mahan M, Krupp S. The urban emergency department: A potential increased occupational hazard for sharps-related injuries. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. Oct 15 2015 PMID: 26468634. 66. Wilson SP, Suszanski J, Goyal N. Prompt diagnosis of an unusual cause of obstructive shock using point-of-care ultrasound. The Journal of emergency medicine. Aug 18 2015 PMID: 26297112. Endocrinology 1. Bharucha AE, Batey-Schaefer B, Cleary PA, Murray JA, Cowie C, Lorenzi G, Driscoll M, Harth J, Larkin M, Christofi M, Bayless M, Wimmergren N, Herman W, Whitehouse F, Jones K, Kruger D, Martin C, Ziegler G, Zinsmeister AR, Nathan DM. Delayed gastric emptying is associated with early and long-term hyperglycemia in type 1 diabetes mellitus. Gastroenterology. May 13 2015 PMID: 25980755. 2. Chen LY, Bigger JT, Hickey KT, Chen H, Lopez-Jimenez C, Banerji MA, Evans G, Fleg JL, Papademetriou V, Thomas A, Woo V, Seaquist ER, Soliman EZ. Effect of intensive blood pressure lowering on incident atrial fibrillation and p-wave indices in the ACCORD blood pressure trial. Am J Hypertens. Oct 16 2015 PMID: 26476086. 72 3. Ezell JM, Peters RM, Shill JE, Cassidy-Bushrow AE. Association between prenatal one-hour glucose challenge test values and delivery mode in nondiabetic, pregnant black women. J Pregnancy. 2015;2015:835613. PMID: 26101668. 4. Kruger DF. The health care maze: How we treat our elderly: One man's journey. Clinical diabetes : a publication of the American Diabetes Association. Jan 2015;33(1):2-4. PMID: 25653466. 5. Kruger DF, LaRue S, Estepa P. 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Siraj ES, Rubin DJ, Riddle MC, Miller ME, Hsu FC, Ismail-Beigi F, Chen SH, Ambrosius WT, Thomas A, Bestermann W, Buse JB, Genuth S, Joyce C, Kovacs CS, O'Connor PJ, Sigal RJ, Solomon S. Insulin dose and cardiovascular mortality in the ACCORD trial. Diabetes care. Nov 2015;38(11):2000-2008. PMID: 26464212. Weinstock RS, DuBose SN, Bergenstal RM, Chaytor NS, Peterson C, Olson BA, Munshi MN, Perrin AJ, Miller KM, Beck RW, Liljenquist DR, Aleppo G, Buse JB, Kruger D, Bhargava A, Goland RS, Edelen RC, Pratley RE, Peters AL, Rodriguez H, Ahmann AJ, Lock JP, Garg SK, Rickels MR, Hirsch IB. Risk factors associated with severe hypoglycemia in older adults with type 1 diabetes. Diabetes care. Dec 17 2015 PMID: 26681721. Zhou Z, Chen Z, Zheng Y, Cao P, Liang Y, Zhang X, Wu W, Xiao J, Qiu S. Relationship between annular tear and presence of propionibacterium acnes in lumbar intervertebral disc. Eur Spine J. Aug 19 2015 PMID: 26287263. Family Medicine 1. LeBron AM, Schulz AJ, Mentz G, White Perkins D. John Henryism, socioeconomic position, and blood pressure in a multi-ethnic urban community. Ethnicity & disease. Winter 2015;25(1):24-30. PMID: 25812248. 73 Gastroenterology 1. Abboud R, Siddiqui Y, Jafri SM. Efficacy of subcutaneous hydrocortisone injection in patients diagnosed with chronic abdominal wall. Am J Gastroenterol. Oct 2014;109:S40-S40. PMID: Not assigned. 2. 3. 4. 5. 6. 7. 8. 9. 10. Abdoud R, Hassan M, Aggarwal R, Pompa R. An interesting case in gastrointestinal amyloidosis. Am J Gastroenterol. Oct 2015;110:S516-S517. PMID: Not assigned. Abouljoud M, Whitehouse S, Langnas A, Brown K. Compensating the transplant professional: time for a model change. American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons. Mar 2015;15(3):601-605. PMID: 25693472. 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Biol Blood Marrow Transplant. 2015;21(2):S323-S324. PMID: Not assigned. Allison RD, Tong X, Moorman AC, Ly KN, Rupp L, Xu F, Gordon SC, Holmberg SD. Increased incidence of cancer and cancer-related mortality among persons with chronic hepatitis c infection, 2006-2010. Journal of hepatology. Apr 30 2015 PMID: 25937437. Alqahtani S, Afdahl NH, Zeuzem S, Gordon SC, Mangia A, Kwo PY, Yang JC, Ding X, Pang PS, McHutchison JG, Marcellin P, Kowdley KV, Sulkowski MS. Safety of ledipasvir sofosbuvir with and without ribavirin for the treatment of patients with chronic HCV genotype 1 infection an analysis of the phase 3 ion trials. Hepatol Int. 2015;9(1):S59-S60. PMID: Not assigned. Alqahtani SA, Afdhal N, Zeuzem S, Gordon S, Mangia A, Kwo P, Fried M, Yang JC, Ding X, Pang PS, McHutchison JG, Pound D, Reddy KR, Marcellin P, Kowdley KV, Sulkowski M. 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Jumbo forceps versus standard forceps for the diagnosis of inflammatory bowel disease. Am J Gastroenterol. Oct 2015;110:S844-S844. PMID: Not assigned. Bhutani N, Muraleedharan C, Talreja D, Rana SW, Walia S, Kumar A, Walia SK. Occurrence of multidrug resistant extended spectrum beta-lactamase-producing bacteria on iceberg lettuce retailed for human consumption. Biomed Res Int. 2015;2015:547547. PMID: 26064922. Boscarino JA, Lu M, Moorman AC, Gordon SC, Rupp LB, Spradling PR, Teshale EH, Schmidt MA, Vijayadeva V, Holmberg SD. Predictors of poor mental and physical health status among patients with chronic hepatitis C infection: The Chronic Hepatitis Cohort Study (CHeCS). Hepatology (Baltimore, Md.). Mar 2015;61(3):802-811. PMID: 25203533. Boscarino JA, Rupp LB, Moorman AC, Zhou Y, Lu M, Gordon SC, Spradling PR, Teshale EH, Schmidt MA, Trinacty CM, Xu F, Holmberg SD, Holtzman D. Depression and alcohol misuse among patients in the chronic hepatitis cohort study (CHECS): Comparison of PHQ-8 and Audit-C instruments vs. ICD-9 Codes. Hepatology (Baltimore, Md.). 2015;62:471A. PMID: Not assigned. Brady JE, Liffmann D, Yartel AK, Kil NB, Federman AD, Jordan CE, Massoud OI, Nerenz DR, Brown KA, Smith B, Vellozzi C, Rein DB. Characteristics of patients tested for hepatitis C and intervention costs in the best-C study. Hepatology (Baltimore, Md.). 2015;62:1081A-1082A. PMID: Not assigned. Bukannan A, Alhyari M, Salami A, Jafri SM, Janakiraman N, Brown K. Etanercept for the management of graft-vs-host disease following orthotopic liver transplantation: A case series. Am J Gastroenterol. Oct 2015;110:S385-S386. PMID: Not assigned. Charlton M, Everson GT, Flamm SL, Kumar P, Landis C, Brown RS, Jr., Fried MW, Terrault NA, O'Leary JG, Vargas HE, Kuo A, Schiff E, Sulkowski MS, Gilroy R, Watt KD, Brown K, Kwo P, Pungpapong S, Korenblat KM, Muir AJ, Teperman L, Fontana RJ, Denning J, Arterburn S, Dvory-Sobol H, Brandt-Sarif T, Pang PS, McHutchison JG, Reddy KR, Afdhal N. Ledipasvir and sofosbuvir plus ribavirin for treatment of hcv infection in patients with advanced liver disease. Gastroenterology. May 15 2015 PMID: 25985734. Choksi N, Elmunzer BJ, Stidham RW, Shuster D, Piraka C. Cold snare piecemeal resection of colonic and duodenal polyps >/=1 cm. Endoscopy international open. Oct 2015;3(5):E508513. PMID: 26528509. Curry MP, Forns X, Chung RT, Terrault NA, Brown R, Jr., Fenkel JM, Gordon F, O'Leary J, Kuo A, Schiano T, Everson G, Schiff E, Befeler A, Gane E, Saab S, McHutchison JG, Subramanian GM, Symonds WT, Denning J, McNair L, Arterburn S, Svarovskaia E, Moonka D, Afdhal N. 75 21. 22. 23. 24. 25. 26. 27. 28. 29. Sofosbuvir and ribavirin prevent recurrence of HCV infection after liver transplantation: an open-label study. Gastroenterology. Jan 2015;148(1):100-107 e101. PMID: 25261839. D'Souza SL, Anderson MA, Korsnes SJ, Elmunzer BJ, Piraka C, Menees S, Wamsteker EJ, Kwon RS, Scheiman JM, Elta GH. Eus diagnostic criteria for chronic pancreatitis: A comparison of conventional versus rosemont criteria. Digestive diseases and sciences. Jul 21 2015 PMID: 26195310. DuBrock HM, Goldberg DS, Sussman NL, Bartolome S, Kadry Z, Salgia R, De Wolf AM, Mulligan DC, Kawut SM, Krowka MJ, Channick R. Prediction of waitlist mortality in patients with portopulmonary hypertension (POPH): An analysis of the UNOS database. Hepatology (Baltimore, Md.). 2015;62:212A. PMID: Not assigned. Elbatta M, Chacra W, Ibrahim M, Varma A, Jafri SM. Prevalence of lysosomal acid lipase (LAL) deficiency in non-obese human subjects with persistent unexplained elevations in ALT. Am J Gastroenterol. Oct 2014;109:S134-S134. PMID: Not assigned. Ferrari C, Gane EJ, Han SHB, Fessel WJ, Trinh HN, Rodell T, Gaggar A, Massetto B, Podlaha O, Johnson AD, Peiser L, Woo J, Subramanian M, McHutchison JG, Gordon SC, Pan CQ, Lee H, Lok AS. Biologic responses to GS-4774 in virally-suppressed chronic HBV Patients. Hepatology (Baltimore, Md.). 2015;62:1209A. PMID: Not assigned. Fischer M, Kelly C, Kao D, Kuchipudi A, Jafri SM, Blumenkehl M, Rex D, Mellow M, Kaur N, Sokol H, Cook G, Phelps E, Sipe B. Outcomes of fecal microbiota transplantation for c. Difficile infection in patients with inflammatory bowel disease. Am J Gastroenterol. Oct 2014;109:S487-S487. PMID: Not assigned. Forns X, Gordon SC, Zuckerman E, Lawitz E, Calleja JL, Hofer H, Gilbert C, Palcza J, Howe AY, DiNubile MJ, Robertson MN, Wahl J, Barr E, Buti M. Grazoprevir/elbasvir plus ribavirin for chronic hcv genotype-1 infection after failure of combination therapy containing a directacting antiviral agent. Journal of hepatology. Apr 17 2015 PMID: 25895428. Foster GR, Afdhal N, Roberts SK, Brau N, Gane EJ, Pianko S, Lawitz E, Thompson A, Shiffman ML, Cooper C, Towner WJ, Conway B, Ruane P, Bourliere M, Asselah T, Berg T, Zeuzem S, Rosenberg W, Agarwal K, Stedman CA, Mo H, Dvory-Sobol H, Han L, Wang J, McNally J, Osinusi A, Brainard DM, McHutchison JG, Mazzotta F, Tran TT, Gordon SC, Patel K, Reau N, Mangia A, Sulkowski M. Sofosbuvir and velpatasvir for hcv genotype 2 and 3 infection. N Engl J Med. Nov 17 2015 PMID: 26575258. Fung S, Gordon SC, Krastev Z, Horban A, Petersen J, Sperl J, Gane E, Jacobson IM, Yee LJ, Dinh P, Martins EB, Flaherty JF, Kitrinos KM, Dusheiko G, Trinh H, Flisiak R, Rustgi VK, Buti M, Marcellin P. Tenofovir disoproxil fumarate in Asian or Pacific Islander chronic hepatitis B patients with high viral load (>/= 9 log10 copies/ml). Liver international : official journal of the International Association for the Study of the Liver. Feb 2015;35(2):422-428. PMID: 25277773. Gane EJ, Lim YS, Gordon SC, Visvanathan K, Sicard E, Fedorak RN, Roberts S, Massetto B, Ye Z, Pflanz S, Garrison KL, Gaggar A, Mani Subramanian G, McHutchison JG, Kottilil S, Freilich B, Coffin CS, Cheng W, Kim YJ. The oral toll-like receptor-7 agonist GS-9620 in patients with chronic hepatitis B virus infection. Journal of hepatology. Feb 27 2015 PMID: 25733157. 76 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. Garg M, Jafri SM, Tang JR. Relationship between prior therapeutic colonoscopic procedures and diverticulitis. Am J Gastroenterol. Oct 2014;109:S204-S204. PMID: Not assigned. George K, Mawri S, Jafri SM, Blumenkehl M. A single-center experience comparing surveillance of barrett's esophagus in subjects with liver cirrhosis and those without cirrhosis. Am J Gastroenterol. Oct 2014;109:S28-S28. PMID: Not assigned. George K, Samuel G, Mawri S, Jinjuvadia R, Kutait A. United States national survey investigating fellows' knowledge and training in moderate sedation for gastrointestinal procedures. Am J Gastroenterol. Oct 2015;110:S663-S664. PMID: Not assigned. George K, Weick A, Moonka D, Jafri SM. Tolerance and outcomes of sofosbuvir-based therapy for chronic hepatitis C. Am J Gastroenterol. Oct 2014;109:S171-S171. PMID: Not assigned. George K, Weick A, Moonka D, Segovia M, Jafri SM. Insurance approval for Sofosbuvir and Simeprevir-based hepatitis C therapies. Am J Gastroenterol. Oct 2014;109:S178-S179. PMID: Not assigned. Gill B, Barawi M, Jafri SM. Don't forget the social history: Intractable vomiting in a young female. Am J Gastroenterol. Oct 2015;110:S539-S539. PMID: Not assigned. Gill B, Barawi M, Jafri SM. Moyamoya presenting as gastrointestinal disease: An unusual cause of nausea and vomiting. Am J Gastroenterol. Oct 2015;110:S513-S513. PMID: Not assigned. Gonzalez HC, Lamerato L, Rogers CG, Gordon SC. Chronic hepatitis C infection as a risk factor for renal cell carcinoma. Digestive diseases and sciences. Jan 17 2015 PMID: 25592719. Gordon SC. Polycystic liver disease. Gastroenterol Hepatol. 2015;11(8):542-544. PMID: Not assigned. Gordon SC, Lamerato LE, Rupp LB, Holmberg SD, Moorman AC, Spradling PR, Teshale E, Xu F, Boscarino JA, Vijayadeva V, Schmidt MA, Oja-Tebbe N, Lu M. Prevalence of cirrhosis in hepatitis C patients in the chronic hepatitis cohort study (CHeCS): A retrospective and prospective observational study. Am J Gastroenterol. Jul 28 2015 PMID: 26215529. Gordon SC, Rupp LB, Boscarino JA, Schmidt MA, Trinacty CM, Lamerato L, Oja-Tebbe N, Lu M. HBV-related cirrhosis in the chronic hepatitis cohort study (CHeCS). Hepatology (Baltimore, Md.). 2015;62:980A. PMID: Not assigned. Hassan M, Saeed A, Nabi S, Weick A, Brown KA, Pompa RL. Pharmacological management of esophageal food impactions: Glucagon vs. Nitroglycerin which is effective? Gastroenterology. 2015;148(4):S809. PMID: Not assigned. Hawkins T, Arora S, Everson G, Freilich B, Kugelmas M, Gordon S, Llewellyn J, Hammond K, Seyedkazemi S, Natha M, Pang P. Virologic response rates to fixed-dose combination 77 43. 44. 45. 46. 47. 48. 49. 50. 51. ledipasvir/sofosbuvir for 8 or 12 weeks with baseline viral load. Am J Gastroenterol. Oct 2015;110:S866-S866. PMID: Not assigned. Henkle E, Lu M, Rupp LB, Boscarino JA, Vijayadeva V, Schmidt MA, Gordon SC. Hepatitis a and B immunity and vaccination in chronic hepatitis B and C patients in a large United States cohort. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. Feb 15 2015;60(4):514-522. PMID: 25371489. Hirschfield GM, Mason A, Luketic V, Lindor K, Gordon SC, Mayo M, Kowdley KV, Vincent C, Bodhenheimer HC, Jr., Pares A, Trauner M, Marschall HU, Adorini L, Sciacca C, Beecher-Jones T, Castelloe E, Bohm O, Shapiro D. Efficacy of obeticholic acid in patients with primary biliary cirrhosis and inadequate response to ursodeoxycholic acid. Gastroenterology. Apr 2015;148(4):751-761 e758. PMID: 25500425. Huang C, Haritunians T, Okou DT, Cutler DJ, Zwick ME, Taylor KD, Datta LW, Maranville JC, Liu Z, Ellis S, Chopra P, Alexander JS, Baldassano RN, Cross RK, Dassopoulos T, Dhere TA, Duerr RH, Hanson JS, Hou JK, Hussain SZ, Isaacs KL, Kachelries KE, Kader H, Kappelman MD, Katz J, Kellermayer R, Kirschner BS, Kuemmerle JF, Kumar A, Kwon JH, Lazarev M, Mannon P, Moulton DE, Osuntokun BO, Patel A, Rioux JD, Rotter JI, Saeed S, Scherl EJ, Silverberg MS, Silverman A, Targan SR, Valentine J, Wang MH, Simpson CL, Bridges SL, Kimberly RP, Rich SS, Cho JH, Di Rienzo A, Kao LW, McGovern DP, Brant SR, Kugathasan S. Characterization of genetic loci that affect susceptibility to inflammatory bowel diseases in African Americans. Gastroenterology. Aug 13 2015 PMID: 26278503. Huprikar S, Danziger-Isakov L, Ahn J, Naugler S, Blumberg E, Avery RK, Koval C, Lease ED, Pillai A, Doucette KE, Levitsky J, Morris MI, Lu K, McDermott JK, Mone T, Orlowski JP, Dadhania DM, Abbott K, Horslen S, Laskin BL, Mougdil A, Venkat VL, Korenblat K, Kumar V, Grossi P, Bloom RD, Brown K, Kotton CN, Kumar D. Solid organ transplantation from hepatitis b virus-positive donors: Consensus guidelines for recipient management. American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons. Feb 23 2015 PMID: 25707744. Hussain S, Khurram D, Ghumman J, Najor J, Piper M, Jafri SM. Quality of the evaluation and management of eosinophilic predominant inflammation of the esophagus in a busy urban hospital center. Am J Gastroenterol. Oct 2014;109:S18-S19. PMID: Not assigned. Hussain S, Khurram D, Pandita S, Prushani A, Jafri SM. Relationship of body mass index (BMI) and age with recurrent clostridium difficile infection. Am J Gastroenterol. Oct 2014;109:S210-S210. PMID: Not assigned. Jafri SM, Gordon SC. The safety of daclatasvir for the treatment of hepatitis C. Expert opinion on drug safety. Nov 2015;14(11):1787-1797. PMID: 26571362. Jinjuvadia R, Liangpunsakul S. Trends in alcoholic hepatitis-related hospitalizations, financial burden, and mortality in the united states. J Clin Gastroenterol. Jul 2015;49(6):506511. PMID: 25198164. Jinjuvadia R, Walia S, Bhalla S, Siddiqui Y. Interesting case of retained wireless capsule despite successful passage of patency capsule in a patient with crohn's disease. Am J Gastroenterol. Oct 2014;109:S455-S455. PMID: Not assigned. 78 52. 53. 54. 55. Kashat B, Prushani A, Jafri S. The effects of change in body mass index on morbidity and mortality after liver transplantation. American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons. 2015;15 PMID: Not assigned. Kuchipudi A, Lee-Allen J, Jafri SM, Patel A. Impact of delayed graft function after orthotopic liver transplantation on the development of renal insufficiency. Am J Gastroenterol. Oct 2015;110:S855-S855. PMID: Not assigned. Kuchipudi A, Morton R, Chan SY, Moonka D, Brown KA, Jafri SM. Outcomes and mortality of de novo autoimmune hepatitis after liver transplantation. Hepatology (Baltimore, Md.). 2015;62:367A. PMID: Not assigned. Kuchipudi A, Mullins K, Blumenkehl M, Muszkat Y, Siddiqui YA, Moonka D, Brown K, Jafri SM. Oral antivirals versus pegylated-interferon for recurrent hepatitis c in orthotopic liver transplant recipients: A single-center study. Am J Gastroenterol. Oct 2015;110:S884S884. PMID: Not assigned. 56. Kuchipudi A, Muszkat Y, Siddiqui YA, Blumenkehl M, Mullins K, Moonka D, Brown K, Jafri SM. Causes of liver allograft dysfunction aft er post-transplant recurrent hepatitis c treatment using all-oral therapy: A case series. Am J Gastroenterol. Oct 2015;110:S884-S884. PMID: Not assigned. 57. Kuchipudi A, Muszkat Y, Siddiqui YA, Mullins K, Blumenkehl M, Moonka D, Brown K, Jafri SM. De novo autoimmune hepatitis in a patient treated for recurrent hepatitis c after liver transplantation with non-interferon-based therapy: A case report. Am J Gastroenterol. Oct 2015;110:S325-S326. PMID: Not assigned. 58. 59. 60. 61. Lenhart A, Castillo JF, Mullins K, Salgia R. A rare case of gastric variceal hemorrhage secondary to infiltrative b-cell lymphoma. Am J Gastroenterol. Oct 2015;110:S501-S502. PMID: Not assinged. Lenhart A, Jinjuvadia R, Liangpunsakul S, Jafri SM. Seasonal variations in liver transplant rates in different regions of united states. Am J Gastroenterol. Oct 2015;110:S889-S889. PMID: Not assigned. Lok AS, Pan CQ, Han SHB, Trinh HN, Fessel J, Rodell T, Massetto B, Nguyen AH, Gaggar A, Subramanian M, McHutchison JG, Ferrari C, Lee H, Gordon SC, Gane EJ. Safety and efficacy of GS-4774 in patients with chronic hepatitis B on oral antiviral therapy. Hepatology (Baltimore, Md.). 2015;62:1191A. PMID: Not assigned. Mangia A, Roberts SK, Pianko S, Thompson AJ, Cooper C, Conway B, Bourlière M, Asselah T, Berg T, Zeuzem S, Rosenberg WM, Agarwal K, Gane EJ, Stedman CA, Mazzotta F, Tran TT, Gordon SC, Svarovskaia ES, Han L, McNally J, Osinusi A, Brainard DM, McHutchison JG, Afdhal NH, Foster GR. Sofosbuvir/GS-5816 fixed dose combination for 12 weeks compared to sofosbuvir with ribavirin for 24 weeks in genotype 3 HCV infected patients: The randomized controlled phase 3 ASTRAL-3 Study. Hepatology (Baltimore, Md.). 2015;62:338A-339A. PMID: Not assigned. 79 62. Mantry PS, Brown RS, Enejosa J, Berenguer M, Kwo PY, Agarwal K, Brown KA, Terrault N, O'Leary JG, Manns MP, McCaughan G, Samuel D, Badri P, Xie W, Setze C, Pilot-Matias T, Shulman N, Forns X. Ombitasvir/paritaprevir/r and dasabuvir with or without ribavirin for HCV patients with post-transplant recurrence. Hepatology (Baltimore, Md.). 2015;62:742A. PMID: Not assigned. 63. Martin P, Gane EJ, Ortiz-Lasanta G, Liu L, Sajwani K, Kirby B, Denning JM, Stamm LM, Brainard DM, McHutchison JG, Lawitz E, Gordon SC, Robson RA. Safety and efficacy of treatment with daily sofosbuvir 400 mg + ribavirin 200 mg for 24 weeks in genotype 1 or 3 HCV-infected patients with severe renal impairment. Hepatology (Baltimore, Md.). 2015;62:765A-766A. PMID: Not assigned. 64. 65. 66. 67. 68. 69. 70. Mayo MJ, Wigg AJ, Roberts SK, Arnold H, Hassanein TI, Leggett BA, Bate JP, Weltman M, Carey EJ, Muir AJ, McCaughan G, Bollipo SJ, Gordon SC, Angus PW, Riordan S, Shiffman ML, Young E, Ling L, Luo J, Elliott M, Rossi S, DePaoli AM, Thompson AJ. NGM282, a novel variant of FGF-19, demonstrates biologic activity in primary biliary cirrhosis patients with an incomplete response to ursodeoxycholic acid: Results of a phase 2 multicenter, randomized, double blinded, placebo controlled trial. Hepatology (Baltimore, Md.). 2015;62:263A-264A. PMID: Not assigned. Mayo MJ, Wigg AJ, Thompson AJ, Roberts SK, Arnold H, Hassanein TI, Leggett BA, Bate JP, Weltman M, Carey EJ, McCaughan G, Bollipo SJ, Gordon SC, Angus PW, Riordan S, Shiffman ML, Young E, Ling L, Luo J, Elliott M, Rossi S, DePaoli AM, Muir AJ. Impact of NGM282 on the incidence and severity of pruritus in primary biliary cirrhosis patients and correlations with liver chemistries and serum bile acids. Hepatology (Baltimore, Md.). 2015;62:520A-521A. PMID: Not assigned. Mehta A, Hussain S, Jafri SM, Pettle T, Kutait A, Prushani A, Niyazi F. Multi-center Evaluation of Current Knowledge of Intestinal Transplantation and Rehabilitation Among Trainee Physicians. Am J Gastroenterol. Oct 2014;109:S102-S103. PMID: Not assigned. Miceli MH, Gonulalan M, Perri MB, Samuel L, Al Fares MA, Brown K, Bruno DA, Zervos M, Ramesh M, Alangaden G. Transmission of infection to liver transplant recipients from donors with infective endocarditis: lessons learned. Transplant infectious disease : an official journal of the Transplantation Society. Feb 2015;17(1):140-146. PMID: 25586791. Moonka D, Yoshida A, Taylor A. The impact of CDC high risk donors on patient and graft survival after liver transplantation. American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons. 2015;15 PMID: Not assigned. Moorman AC, Xing J, Ko S, Rupp LB, Xu F, Gordon SC, Lu M, Spradling PR, Teshale EH, Boscarino JA, Vijayadeva V, Schmidt MA, Holmberg SD. Late diagnosis of hepatitis c virus infection in the chronic hepatitis cohort study (checs): Missed opportunities for intervention. Hepatology (Baltimore, Md.). May 2015;61(5):1479-1484. PMID: 25131217. Nabi S, Arshad A, Jabbar A, Hassan M, Kuriakose P. Risk factors for gastrointestinal stromal tumors: A 10-year retrospective review from a tertiary care facility. Am J Gastroenterol. Oct 2015;110:S1015-S1015. PMID: Not assigned. 80 71. Niyazi F, Al-Abid B, Nonahal K, Prushani A, Jafri SM. The effect of bariatric surgery on the outcome of patients with chronic liver disease. Am J Gastroenterol. Oct 2014;109:S633-S633. PMID: Not assigned. 72. Niyazi F, Jafri SM, El Atrache M, Gordon S, Saeed A. Stauffer's syndrome: Renal cell carcinoma presenting as abnormal LFTs. Am J Gastroenterol. Oct 2015;110:S322-S322. PMID: Not assigned. 73. 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Barnes CM, Drake CL. Prioritizing sleep health: Public health policy recommendations. Perspectives on psychological science : a journal of the Association for Psychological Science. Nov 2015;10(6):733-737. PMID: 26581727. Belcher R, Gumenyuk V, Roth T. Insomnia in shift work disorder relates to occupational and neurophysiological impairment. J Clin Sleep Med. 2015;11(4):457-465. PMID: 25665690. Bogan RK, Roth T, Schwartz J, Miloslavsky M. Sodium oxybate for the treatment of excessive daytime sleepiness and cataplexy in patients with narcolepsy: Time to response. Journal of Sleep Research. 2014;23:33. PMID: Not assigned. Bogan RK, Roth T, Schwartz J, Miloslavsky M. Time to response with sodium oxybate for the treatment of excessive daytime sleepiness and cataplexy in patients with narcolepsy. J Clin Sleep Med. 2015;11(4):427-432. PMID: 25580605. Cheng P, Goldschmied J, Casement M, Kim H, Hoffman R, Armitage R, Deldin P. Slow-wave disruption improves mood in major depressive disorder. 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PMID: 26448877. 190 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. Drake CL, Bostock S, Espie CA, Singh M, Cheng P, Anderson JR, Pillai V. Anxiolytic effects of cognitive behavior therapy for insomnia: Preliminary results from an Internet-based protocol. Sleep. 2015;38:A229. PMID: Not assigned. Fujita S, Conway WA, Sicklesteel JM, Wittig RM, Zorick FJ, Roehrs TA, Roth T. Evaluation of the effectiveness of uvulopalatopharyngoplasty. The Laryngoscope. Jun 2015;125(6):1273-1277. PMID: 25990917. Goldschmied J, Kemp K, Cheng P, Caccamo L, Roberts J, Deldin P. A pilot study to examine the effects of napping on emotion regulation. Sleep. 2015;38:A82-A83. PMID: Not assigned. Gordon V, Chhina A, Bradley P, Bazan L, Mordis C, Roth T, Roehrs T. PRE operative stop bang screening predicts post operative pain and opioid USE. Sleep. 2015;38:A172. PMID: Not assigned. Ivgy-May N, Roth T, Ruwe F, Walsh J. Esmirtazapine in non-elderly adult patients with primary insomnia: efficacy and safety from a 2-week randomized outpatient trial. Sleep medicine. Jul 2015;16(7):831-837. PMID: 26047890. Ivgy-May N, Ruwe F, Krystal A, Roth T. Esmirtazapine in non-elderly adult patients with primary insomnia: efficacy and safety from a randomized, 6-week sleep laboratory trial. Sleep medicine. Jul 2015;16(7):838-844. PMID: 26047892. Johnson DA, Drake C, Joseph CL, Krajenta R, Hudgel DW, Cassidy-Bushrow AE. Influence of neighbourhood-level crowding on sleep-disordered breathing severity: mediation by body size. J Sleep Res. May 7 2015 PMID: 25950087. Kalmbach DA, Arnedt JT, Pillai V, Ciesla JA. The Impact of Sleep on Female Sexual Response and Behavior: A Pilot Study. The journal of sexual medicine. Mar 16 2015 PMID: 25772315. Kalmbach DA, Pillai V, Cheng P, Arnedt JT, Drake CL. Shift work disorder, depression, and anxiety in the transition to rotating shifts: the role of sleep reactivity. Sleep medicine. Dec 2015;16(12):1532-1538. PMID: 26611952. Komada Y, Nakajima S, Breugelmans R, Drake CL, Inoue Y. A reliability and validity study of the pediatric daytime sleepiness scale among school aged children in Japan. J Sleep Res. 2014;23:318-319. PMID: Not assigned. Miller A, Roth T, Roehrs T, Yaremchuk K. Correlation between sleep disruption on postoperative pain. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. Feb 24 2015 PMID: 25715354. Palagini L, Bruno RM, Caccamo L, Mauri M, Drake CL. Stress related sleep reactivity depends on metacognition in primary insomnia. Journal of Sleep Research. 2014;23:214. PMID: Not assigned. Palagini L, Drake CL, Gehrman P, Meerlo P, Riemann D. Early-life origin of adult insomnia: does prenatal-early-life stress play a role? Sleep medicine. Jan 16 2015 PMID: 25799941. 191 28. 29. 30. 31. Palagini L, Bruno RM, Paolo T, Caccavale L, Gronchi A, Mauri M, Riemann D, Drake CL. Association between stress-related sleep reactivity and metacognitive beliefs about sleep in insomnia disorder: Preliminary results. Behavioral sleep medicine. Nov 7 2015:1-14. PMID: 26548894. Pillai V, Cheng P, Drake CL, Moss K, Goldschmeid J, Casement M, Kim H, Hoffmann R, Armitage R, Deldin P. Differences in rapid-eye-movement sleep pressure between high and low ruminators. Sleep. 2015;38:A330-A331. PMID: Not assigned. Roehrs T, Diederichs C, Gillis M, Burger AJ, Stout RA, Lumley MA, Roth T. Effects of reduced time in bed on daytime sleepiness and recovery sleep in fibromyalgia and rheumatoid arthritis. Journal of psychosomatic research. Mar 22 2015 PMID: 25824597. Roehrs TA, Roth T. Sleep disturbance in substance use disorders. The Psychiatric clinics of North America. Dec 2015;38(4):793-803. PMID: 26600109. 32. Roth T. More on insomnia disorders in older patients. Curr Psychiatr. 2015;14(2):6. PMID: Not assigned. 33. Roth T. The effect of comorbid psychiatric and medical illnesses on sleep disorder treatment. J Clin Psychiatry. Sep 2015;76(9):e1146. PMID: 26455684. 34. 35. 36. 37. 38. 39. 40. Roth T. Effects of excessive daytime sleepiness and fatigue on overall health and cognitive function. J Clin Psychiatry. Sep 2015;76(9):e1145. PMID: 26455683. Roth T, Bhadra-Brown P, Pitman VW, Resnick EM. Pregabalin improves fibromyalgiarelated sleep disturbance. Clin J Pain. May 28 2015 PMID: 26035523. Roth T, Bhadra-Brown P, Pitman VW, Roehrs TA, Resnick EM. Characteristics of disturbed sleep in patients with fibromyalgia compared with insomnia or with healthy volunteers. Clin J Pain. May 28 2015 PMID: 26035524. Roth T, Nir T, Zisapel N. Prolonged release melatonin for improving sleep in totally blind subjects: a pilot placebo-controlled multicenter trial. Nature and science of sleep. 2015;7:1323. PMID: 25678831. Skiba V, Goldstein C, Schotland H. Night-to-night variability in sleep disordered breathing and the utility of esophageal pressure monitoring in suspected obstructive sleep apnea. J Clin Sleep Med. 2015;11(6):597-602. PMID: 25700868. Uppalapati S, Bazan L, Agarwal K, Al Jasmi M, Gokaraju S. Missed chronic respiratory failure in a postpolio syndrome patient. Sleep. 2015;38:A450-A451. PMID: Not assigned. Vargas I, Friedman NP, Drake CL. Vulnerability to stress-related sleep disturbance and insomnia: Investigating the link with comorbid depressive symptoms. Trans Issues Psychol Sci. Mar 1 2015;1(1):57-66. PMID: 25914895. 192 Sports Medicine 1. Linares MA, Zakaria A, Nizran P. Skin cancer. Primary care. Dec 2015;42(4):645-659. PMID: 26612377. Surgery 1. Abaunza M, Kabbani LS, Nypaver T, Greenbaum A, Balraj P, Qureshi S, Alqarqaz MA, Shepard AD. Incidence and prognosis of vascular complications after percutaneous placement of left ventricular assist device. Journal of vascular surgery. Jun 5 2015 PMID: 26054591. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Abouljoud M, Malinzak L, Bruno D. Surgical options for the management of portal hypertension. Curr Hepat Rep. 2015;14(3):225-233. PMID: Not assigned. Abouljoud M, Whitehouse S, Langnas A, Brown K. Compensating the transplant professional: time for a model change. American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons. Mar 2015;15(3):601-605. PMID: 25693472. Ali Mohammad FH, Go P, Ghanem T, Stachler R, Hammoud Z. Long-term survival after local resection of cervical esophageal cancer. The Annals of thoracic surgery. Jun 2015;99(6):2202-2203. PMID: 26046877. Amro A, Murr M. A video case report of LRYGB in a patient with a left ventricular assist device. Surg Obes Relat Dis. Jun 29 2015 PMID: 26499353. Avasarala SK, Spagna P, Yessayan L, Rendulic T, Stagner L, Jennings J, Nemeh HW, Allenspach L. Comparison of prophylactic regimens to prevent aspergillus infections in lung transplant recipients. Am J Respir Crit Care Med. 2015;191 PMID: Barod R, Penna F, Dalela D, Morgan J, Menon M, Rogers C. Two stage management of renal tumours with atrial thrombus: A novel hybrid technique with robotic assistance. European Urology, Supplements. 2015;14(2):eV27. PMID: Not assigned. Bauman Z, Coba V, Gassner M, Amponsah D, Gallien J, Blyden D, Killu K. Inferior vena cava collapsibility loses correlation with internal jugular vein collapsibility during increased thoracic or intra-abdominal pressure. J Ultrasound. Dec 2015;18(4):343-348. PMID: 26550073. Bauman Z, Nanagas V, Jr. The combination of gastroschisis, jejunal atresia, and colonic atresia in a newborn. Case Rep Pediatr. 2015;2015:129098. PMID: 26180651. Bauman Z, Ruggero J, Lim J. Gallbladder volvulus presenting as acute appendicitis. Case Rep Surg. 2015;2015:629129. PMID: 26171270. Bauman ZM, Gassner MY, Coughlin MA, Mahan M, Watras J. Lung injury prediction score is useful in predicting acute respiratory distress syndrome and mortality in surgical critical care patients. Crit Care Res Pract. 2015;2015:157408. PMID: 26301105. Bhatti F, Jesse M, George K, Centala J, Ehrman J, Eshelman A, Abouljoud M, Brown K. Pilot study on safety and feasibility of complete meal replacement in liver transplant 193 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. recipients and potential donors. American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons. 2015;15 PMID: Not assigned. Bisordi J, Abouljoud M. Physician leadership initiatives at small or mid-size organizations. Healthcare. 2015 PMID: Not assigned. Brienza D, Antokal S, Herbe L, Logan S, Maguire J, Van Ranst J, Siddiqui A. Friction-Induced Skin Injuries-Are They Pressure Ulcers? An Updated NPUAP White Paper. Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society / WOCN. Jan-Feb 2015;42(1):62-64. PMID: 25549310. Bui E, Inaba K, Ebadat A, Karamanos E, Byerly S, Okoye O, Shulman I, Rhee P, Demetriades D. The impact of increased plasma ratios in massively transfused trauma patients: a prospective analysis. Eur J Trauma Emerg Surg. Sep 11 2015 PMID: 26362535. Bunnapradist S, Denny J, Waybill M, West-Thielke P, Steinberg S. Efficacy, safety and pharmacokinetics of once-daily, meltdose® tacrolimus (envarsus® XR) versus twice-daily tacrolimus (prograf®) in de novo kidney transplant recipient sub-groups: A 2 year phase 3 randomized, double-blind, double-dummy, trial. American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons. 2015;15 PMID: Not assigned. Campbell L, Sammon J, Rahbar H, Patel S, Wolfe-Christensen C, Kabbani L, Shepard A. Postoperative urinary retention in men is common after carotid endarterectomy and is associated with advanced age and prior urinary tract infection. Journal of vascular surgery. Oct 21 2015 PMID: 26506934. Carter B, Griffith B, Mossa-Basha F, Zintsmaster SA, Patel S, Williams TR, Patton P, Vallee PA. Reformatted images of the thoracic and lumbar spine following CT of chest, abdomen, and pelvis in the setting of blunt trauma: are they necessary? Emerg Radiol. Feb 10 2015 PMID: 25666301. Cloughesy TF, Finocchiaro G, Belda C, Recht L, Brandes AA, Pineda E, Mikkelsen T, Chinot OL, Balana C, Macdonald DR, Westphal M, Hopkins K, Weller M, Liu B, Bruey JM, Verret W. Onartuzumab plus bevacizumab versus placebo plus bevacizumab in recurrent glioblastoma (GBM): HGF and MGMT biomarker data. J Clin Oncol. May 2015;33(15):1. PMID: Not assigned. D'Agostino RS, Jacobs JP, Badhwar V, Paone G, Rankin JS, Han JM, McDonald D, Shahian DM. The society of thoracic surgeons adult cardiac surgery database: 2016 update on outcomes and quality. The Annals of thoracic surgery. Nov 23 2015 PMID: 26616408. Davis KE, Moquin KJ, Lavery LA. The fluid dynamics of simultaneous irrigation with negative pressure wound therapy. Int Wound J. May 12 2015 PMID: 25968404. Deeb D, Gao X, Liu Y, Pindolia K, Gautam SC. Inhibition of hTERT/telomerase contributes to the antitumor activity of pristimerin in pancreatic ductal adenocarcinoma cells. Oncol Rep. May 19 2015 PMID: 25997419. 194 23. Demos DS, Iyengar A, Bryner BS, Gray BW, Hoffman HR, Cornell MS, Wilkinson JE, Mazur DE, Bartlett RH, Punch JD, Rojas-Pena A. "Successful Porcine Renal Transplantation after 60 Minutes of Donor Warm Ischemia: Extracorporeal Perfusion And Thrombolytics". ASAIO journal (American Society for Artificial Internal Organs : 1992). Mar 31 2015 PMID: 25851315. 24. Doshi M, Goggins M, Norman S, Ho S, Winkler C, Kopp J. APOL1 risk alleles in live and deceased kidney donors are associated with shorter renal allograft survival. American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons. 2015;15 PMID: Not assigned. 25. 26. 27. 28. 29. 30. 31. 32. 33. Ellis MC, Paugh TA, Dickinson TA, Fuller J, Chores J, Paone G, Heung M, Fliegner K, Pruitt AL, Patel HJ, Zhang M, Prager RL, Likosky DS. Nadir Hematocrit on Bypass and Rates of Acute Kidney Injury: Does Sex Matter? The Annals of thoracic surgery. Aug 18 2015 PMID: 26296273. Gao X, Deeb D, Liu Y, Liu P, Zhang Y, Shaw J, Gautam SC. CDDO-Me inhibits tumor growth and prevents recurrence of pancreatic ductal adenocarcinoma. International journal of oncology. Oct 19 2015 PMID: 26497549. Gassner M, Killu K, Bauman Z, Coba V, Rosso K, Blyden D. Feasibility of common carotid artery point of care ultrasound in cardiac output measurements compared to invasive methods. J Ultrasound. 2015;18(2):127-133. PMID: Not assigned. Gelbard RB, Karamanos E, Farhoomand A, Keeling WB, McDaniel MC, Wyrzykowski AD, Shafii SM, Rajani RR. Immediate post-traumatic pulmonary embolism is not associated with right ventricular dysfunction. Am J Surg. Oct 22 2015 PMID: 26545343. Ghalyaie N, Szilagy EJ. Colonic lipomas and liposarcomas. Semin Colon Rectal Surg. 2015;26(2):115-118. PMID: Not assigned. Go P, Watson J, Lu Z, Carlin A, Hammoud Z. Robotic resection of a mediastinal parathyroid cyst. Gen Thorac Cardiovasc Surg. Sep 9 2015 PMID: 26353995. Go PH, Hodari A, Nemeh HW, Borgi J, Lanfear DE, Williams CT, Paone G, Morgan JA. Effect of preoperative albumin levels on outcomes in patients undergoing left ventricular device implantation. ASAIO journal (American Society for Artificial Internal Organs : 1992). Aug 4 2015 PMID: 26262585. Goldberg J, Paugh TA, Dickinson TA, Fuller J, Paone G, Theurer PF, Shann KG, Sundt TM, 3rd, Prager RL, Likosky DS. Greater volume of acute normovolemic hemodilution may aid in reducing blood transfusions after cardiac surgery. The Annals of thoracic surgery. Jul 21 2015 PMID: 26206721. Goldstein E, Ho CX, Hanna R, Elinger C, Yaremchuk KL, Seidman MD, Jesse MT. Cost of care for subjective tinnitus in relation to patient satisfaction. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. Jan 28 2015 PMID: 25632027. 195 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. Griffith B, Chaudhary H, Mahmood G, Carlin AM, Peterson E, Singer M, Patel SC. Accuracy of 2-phase parathyroid ct for the preoperative localization of parathyroid adenomas in primary hyperparathyroidism. AJNR Am J Neuroradiol. Sep 10 2015 PMID: 26359149. Hans SS, Catanescu I. Selective shunting for carotid endarterectomy in patients with recent stroke. Journal of vascular surgery. Jan 15 2015 PMID: 25601503. Hans SS, Catanescu I, Bove P, Long G, Khoury M, Uzieblo M, Rimar S, Brown W. Rupture of abdominal aortic and iliac aneurysms in patients with and without antecedent endovascular repair. Journal of vascular surgery. Sep 2015;62(3):830-830. PMID: Not assigned. Harrison MF, Garcia K, Ebert D, Sargsyan A, Dulchavsky SA. Spinal pathology as assessed by ultrasound before, during, and after long duration space flight. Ann Emerg Med. 2015;66(4):S137. PMID: Not assigned. Healy MA, Krell RW, Abdelsattar ZM, McCahill LE, Kwon D, Frankel TL, Hendren S, Campbell DA, Jr., Wong SL. Pancreatic resection results in a statewide surgical collaborative. Annals of surgical oncology. Mar 28 2015 PMID: 25820999. Hodari A, Park KU, Lace B, Tsiouris A, Hammoud Z. Robot-assisted minimally invasive ivor lewis esophagectomy with real-time perfusion assessment. The Annals of thoracic surgery. Jun 24 2015 PMID: 26116484. Jacobs JP, Shahian DM, Prager RL, Edwards FH, McDonald D, Han JM, D'Agostino RS, Jacobs ML, Kozower BD, Badhwar V, Thourani VH, Gaissert HA, Fernandez FG, Wright C, Fann JI, Paone G, Sanchez JA, Cleveland JC, Jr., Brennan JM, Dokholyan RS, O'Brien SM, Peterson ED, Grover FL, Patterson GA. Introduction to the sts national database series: Outcomes analysis, quality improvement, and patient safety. The Annals of thoracic surgery. Oct 31 2015 PMID: 26525868. Jesse M, Abouljoud M, Lerut J, Eshelman A, De Reyck C. Burnout in ESOT surgeons. Transplant International. 2015;28:832. PMID: Not assigned. Jesse M, Eshelman A, Rosetti T, Abouljoud M, Denny J, Patel A, Kim D. Psychiatric recommendations for patients pursing kidney transplantation. American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons. 2015;15 PMID: Not assigned. Jesse MT, Abouljoud M, Eshelman A. Determinants of burnout among transplant surgeons: a national survey in the United States. American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons. Mar 2015;15(3):772-778. PMID: 25676165. Jesse MT, Abouljoud MS, Hogan K, Eshelman A. Burnout in transplant nurses. Prog Transplant. Sep 2015;25(3):196-202. PMID: 26308777. Jesse MT, Habra R, Mekaru S, Goldstein E, Eshelman A, Abouljoud MS. Living liver donors: Disparity, distress, and sleep. Hepatology (Baltimore, Md.). 2015;62:486A-487A. PMID: Not assigned. 196 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. Karam J, Tsiouris A, Vazquez J, Shepard A. Cryptococcal aortitis presenting as a symptomatic abdominal aortic aneurysm. Annals of vascular surgery. Feb 2015;29(2):363 e369-363 e311. PMID: 25452084. Karamanos E, Dulchavsky S, Beale E, Inaba K, Demetriades D. Diabetes mellitus in patients presenting with adhesive small bowel obstruction: Delaying surgical intervention results in worse outcomes. World J Surg. Nov 13 2015 PMID: 26566780. Karamanos E, Wei B, Siddiqui A, Rubinfeld I. Tobacco use and body mass index as predictors of outcomes in patients undergoing breast reduction mammoplasty. Ann Plast Surg. Oct 2015;75(4):383-387. PMID: 24667885. Karthikeyan V, Venkat KK. Complete recovery of acute kidney injury in native kidney following heart kidney transplantation. Indian Journal of Transplantation. 2015 PMID: Not assigned. Kolbe N, Bakey S, Louwers L, Blyden D, Horst M, Falvo A, Patton J, Rubinfeld I. Predictors of clavien 4 complications and mortality after necrosectomy: Analysis of the NSQIP database. J Gastrointest Surg. Apr 11 2015 PMID: 25862000. Kolbe N, Carlin AM, Bakey S, Louwers L, Horst HM, Rubinfeld I. Assessing risk of critical care complications and mortality in the elective bariatric surgery population using a modified frailty index. Obes Surg. Aug 2015;25(8):1401-1407. PMID: 25526696. Kolbe N, Hain J. Treatment of acute hemorrhoidal crisis using hyaluronidase with local anesthetic prior to surgical excision. Tech Coloproctol. Aug 2015;19(8):487-488. PMID: 26153413. Kolbe N, Killu K, Coba V, Neri L, Garcia KM, McCulloch M, Spreafico A, Dulchavsky S. Point of care ultrasound (POCUS) telemedicine project in rural Nicaragua and its impact on patient management. J Ultrasound. 2015;18(2):179-185. PMID: Not assigned. Krell RW, Reames BN, Hendren S, Frankel TL, Pawlik TM, Chung M, Kwon D, Wong SL. Surgical referral for colorectal liver metastases: A population-based survey. Annals of surgical oncology. Jan 13 2015 PMID: 25582739. Likosky DS, Paone G, Zhang M, Rogers MA, Harrington SD, Theurer PF, DeLucia A, 3rd, Fishstrom A, Camaj A, Prager RL. Red blood cell transfusions impact pneumonia rates after coronary artery bypass grafting. The Annals of thoracic surgery. Jul 21 2015 PMID: 26209489. Likosky DS, Wallace AS, Prager RL, Jacobs JP, Zhang M, Harrington SD, Saha-Chaudhuri P, Theurer PF, Fishstrom A, Dokholyan RS, Shahian DM, Rankin JS. Sources of variation in hospital-level infection rates after coronary artery bypass grafting: An analysis of the society of thoracic surgeons adult heart surgery database. The Annals of thoracic surgery. Aug 27 2015 PMID: 26321440. Madrid FF, Maroun MC, Olivero OA, Long M, Stark A, Grossman LI, Binder W, Dong J, Burke M, Nathanson SD, Zarbo R, Chitale D, Zeballos-Chavez R, Peebles C. Autoantibodies in 197 58. 59. 60. 61. 62. 63. breast cancer sera are not epiphenomena and may participate in carcinogenesis. BMC Cancer. May 15 2015;15(1):407. PMID: 25975273. Malinzak LE, Cheng J, Bajoka R, Patel A. Graft tenderness 9 years after kidney transplant. American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons. Oct 2015;15(10):27772779. PMID: 26382205. Martin RC, 2nd, Kwon D, Chalikonda S, Sellers M, Kotz E, Scoggins C, McMasters KM, Watkins K. Treatment of 200 locally advanced (Stage III) pancreatic adenocarcinoma patients with irreversible electroporation: Safety and efficacy. Ann Surg. Sep 2015;262(3):486-494. PMID: 26258317. Miceli MH, Gonulalan M, Perri MB, Samuel L, Al Fares MA, Brown K, Bruno DA, Zervos M, Ramesh M, Alangaden G. Transmission of infection to liver transplant recipients from donors with infective endocarditis: lessons learned. Transplant infectious disease : an official journal of the Transplantation Society. Feb 2015;17(1):140-146. PMID: 25586791. Miller-Matero LR, Hyde-Nolan ME, Eshelman A, Abouljoud M. Health literacy in patients referred for transplant: Do patients have the capacity to understand? Clinical transplantation. Jan 21 2015 PMID: 25604933. Miller-Matero LR, Tobin ET, Clark S, Eshelman A, Genaw J. Pursuing bariatric surgery in an urban area: Gender and racial disparities and risk for psychiatric symptoms. Obes Res Clin Pract. Apr 6 2015 PMID: 25858423. Mohammad F, Kabbani L, Taylor A, Cuff R, Rectenwald J, Brown O, Dall'Olmo C, Mattos M. Novel open vascular surgery skills training model accurately differentiates level of vascular surgical skills (forceps handling, needle driving, and knot tying) in general surgery residents, vascular surgery residents, fellows, and faculty. Journal of vascular surgery. Sep 2015;62(3):822-822. PMID: Not assigned. 64. Mohammad FHA, Kabbani L, Karamanos E, Shepard AD. Survival after acute type b aortic dissection: A single-center experience. J. Am. Coll. Surg. Oct 2015;221(4):S184-S185. PMID: Not assigned. 65. Mohammad FHA, Kabbani L, Kumbar LM, Shepard A, Weaver M, Qureshi S, Karamanos E, Haddad G. 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Rogers C, Barod R, Schwartz S, Menon M. Endovascular extraction of caval tumor thrombus to facilitate minimally invasive cytoreductive nephrectomy for metastatic kidney cancer. Eur Urol. Apr 2 2015 PMID: 25843640. Rogers CG, Barod R, Schwartz S, Menon M. Reply to Pranav Sharma, Asad Sawar and Philippe Spiess' Letter to the Editor re: Re: Craig Rogers, Ravi Barod, Scott Schwartz, Mani Menon. Endovascular Extraction of Caval Tumor Thrombus to Facilitate Minimally Invasive Cytoreductive Nephrectomy for Metastatic Kidney Cancer. Eur Urol 2015;68:167-8. Eur Urol. May 21 2015 PMID: 26004799. Roghmann FBG, Ravi P, Hanske J, Meyer CP, Schmid M, Sun M, Abdollah F, Sammon JD, Menon M, Kibel AS, Noldus J, Trinh QD. Perioperative outcomes after radical cystectomy at NCI-designated centers: Are they any better? European Urology, Supplements. 2015;14(2):e435-e435a. PMID: Not assigned. 212 106. Sammon JD, Abdollah F, Choueiri TK, Kantoff PW, Nguyen PL, Menon M, Trinh QD. Prostate-specific antigen screening after 2012 us preventive services task force recommendations. Jama. Nov 17 2015;314(19):2077-2079. PMID: 26575066. 107. Sammon JD, Abdollah F, D'Amico A, Gettman M, Haese A, Suardi N, Vickers A, Trinh QD. Predicting life expectancy in men diagnosed with prostate cancer. Eur Urol. Mar 25 2015 PMID: 25819724. 108. Sammon JD, Abdollah F, Klett DE, Pucheril D, Sood A, Trinh QD, Menon M. The diminishing returns of robotic diffusion: Complications following robot-assisted radical prostatectomy. BJU international. Mar 6 2015 PMID: 25754061. 109. 110. 111. 112. 113. 114. 115. 116. Sammon JD, Abdollah F, Reznor G, Pucheril D, Choueiri TK, Hu JC, Kim SP, Schmid M, Sood A, Sun M, Kibel AS, Nguyen PL, Menon M, Trinh QD. Patterns of declining use and the adverse effect of primary androgen deprivation on all-cause mortality in elderly men with prostate cancer. Eur Urol. Jul 2015;68(1):32-39. PMID: 25457017. Sammon JD, Abdollah F, Reznor G, Pucheril D, Sood A, Klett DE, Hanske J, Christian M, Menon M, Trinh QD. Primary androgen deprivation therapy increases all cause mortality in populations matched by comorbidity adjusted life expectancy and disease risk. European Urology, Supplements. 2015;14(2):e560-e560b. PMID: Not assigned. Sammon JD, Abdollah FA, Trinh QD. Reply to Michael Froehner, Rainer Koch, Manfred P. Wirth's Letter to the Editor re: Jesse D. Sammon, Firas Abdollah, Anthony D'Amico, et al. Predicting Life Expectancy in Men Diagnosed with Prostate Cancer. Eur Urol 2015;68:75665. Eur Urol. Oct 9 2015 PMID: 26461111. Sammon JD, Dalela D, Abdollah F, Choueiri TK, Han PK, Hansen M, Nguyen PL, Sood A, Menon M, Trinh QD. Determinants of prostate specific antigen screening among black men in the united states in the contemporary era. The Journal of urology. Nov 17 2015 PMID: 26598427. Sammon JD, Klett DE, Abdollah F, Sood A, Pucheril D, Hanske J, Meyer C, Peabody JO, Menon M, Trinh QD. Healthcare-associated infections following cystectomy: Room for improvement. European Urology, Supplements. 2015;14(2):e439-e439b. PMID: Not assigned. Sammon JD, Klett DE, Sood A, Abdollah F, Pucheril D, Schmid M, Hanske J, Meyer C, Peabody JO, Menon M, Trinh QD. In-hospital mortality due to recognizable/preventable complications is on the rise: Failing to rescue after common urologic oncology procedures? European Urology, Supplements. 2015;14(2):e664-e664b. PMID: Not assigned. Sammon JD, Klett DE, Sood A, Olugbade K, Jr., Schmid M, Kim SP, Menon M, Trinh QD. Sepsis after major cancer surgery. The Journal of surgical research. Feb 2015;193(2):788794. PMID: 25167780. Sammon JD, McKay RR, Kim SP, Sood A, Sukumar S, Hayn MH, Hu JC, Kibel AS, Nguyen PL, Peabody JO, Saad F, Sun M, Varda B, Menon M, Choueiri TK, Trinh QD. Burden of hospital admissions and utilization of hospice care in metastatic prostate cancer patients. Urology. Feb 2015;85(2):343-350. PMID: 25623683. 213 117. 118. 119. 120. 121. 122. 123. 124. 125. 126. 127. Sammon JD, Pucheril D, Abdollah F, Varda B, Sood A, Bhojani N, Chang SL, Kim SP, Ruhotina N, Schmid M, Sun M, Kibel AS, Menon M, Semel ME, Trinh QD. Preventable mortality after common urological surgery: failing to rescue? BJU international. Apr 2015;115(4):666-674. PMID: 24913548. Sammon JD, Trinh QD. Reply. Urology. Feb 2015;85(2):349-350. PMID: 25623685. Sarveswaran S, Ghosh R, Morisetty S, Ghosh J. Mk591, a second generation leukotriene biosynthesis inhibitor, prevents invasion and induces apoptosis in the bone-invading c4-2b human prostate cancer cells: Implications for the treatment of castration-resistant, bonemetastatic prostate cancer. PloS one. 2015;10(4):e0122805. PMID: 25875826. Schmid M, Chiang HA, Sood A, Campbell L, Chun FK, Dalela D, Okwara J, Sammon JD, Kibel AS, Menon M, Fisch M, Trinh QD. Causes of hospital readmissions after urologic cancer surgery. Urol Oncol. Dec 16 2015 PMID: 26712365. Schmid M, Ghani KR, Choueiri TK, Sood A, Kapoor V, Abdollah F, Chun FK, Leow JJ, Olugbade K, Jr., Sammon JD, Menon M, Kibel AS, Fisch M, Nguyen PL, Trinh QD. An evaluation of the 'weekend effect' in patients admitted with metastatic prostate cancer. BJU international. Dec 2015;116(6):911-919. PMID: 25099032. Schmid M, Meyer CP, Reznor G, Choueiri TK, Hanske J, Sammon JD, Abdollah F, Chun FK, Kibel AS, Tucker-Seeley RD, Kantoff PW, Lipsitz SR, Menon M, Nguyen PL, Trinh QD. Racial differences in the surgical care of medicare beneficiaries with localized prostate cancer. JAMA Oncol. Oct 22 2015:1-9. PMID: 26502115. Schmid M, Sammon JD, Reznor G, Kapoor V, Speed JM, Abdollah FA, Sood A, Chun FK, Kibel AS, Menon M, Fisch M, Sun M, Trinh QD. The dose-dependent effect of androgen deprivation therapy for localized prostate cancer on adverse cardiac events. BJU international. Jun 13 2015 PMID: 26074405. Schmid M, Sood A, Campbell L, Kapoor V, Dalela D, Klett DE, Chun FK, Kibel AS, Sammon JD, Menon M, Fisch M, Trinh QD. Impact of smoking on perioperative outcomes after major surgery. Am J Surg. Apr 23 2015 PMID: 25980408. Simone G, Gill IS, Mottrie A, Kutikov A, Patard JJ, Alcaraz A, Rogers CG. Indications, techniques, outcomes, and limitations for minimally ischemic and off-clamp partial nephrectomy: A systematic review of the literature. Eur Urol. Apr 25 2015 PMID: 25922273. Singer M, Diaz-Insua M, Chang S. Diet and the risk of thyroid cancer: Results from a large, prospective cohort. Thyroid. 2015;25:A254-A255. PMID: Not assigned. Sood A, Abdollah F, Klett DE, Jeong W, Peabody JO, Trinh QD, Menon M, Sammon JD. Effect of body mass index on delayed graft function, graft survival and patient survival after kidney transplantation: Analysis of the United Network of Organ Sharing 1998-2011. European Urology, Supplements. 2015;14(2):e75-e75a. PMID: Not assigned. 214 128. 129. 130. 131. 132. 133. 134. 135. 136. 137. 138. Sood A, Abdollah F, Klett DE, Jeong W, Peabody JO, Trinh QD, Menon M, Sammon JD. National trends and racial disparities in living kidney donation: Analysis of the United Network of Organ Sharing 1998-2011. European Urology, Supplements. 2015;14(2):e76e76a. PMID: Not assigned. Sood A, Abdollah F, Sammon J, Klett DE, Pucheril D, Schmid M, Peabody JO, Preston MA, Kibel AS, Menon M, Trinh QD. The effect of body mass index on perioperative outcomes after major urologic surgery. European Urology, Supplements. 2015;14(2):e660-e660a. PMID: Not assigned. Sood A, Abdollah F, Sammon JD, Kapoor V, Rogers CG, Jeong W, Klett DE, Hanske J, Meyer CP, Peabody JO, Menon M, Trinh QD. An evaluation of the timing of surgical complications following nephrectomy: data from the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP). World J Urol. Apr 25 2015 PMID: 25910477. Sood A, Abdollah F, Sammon JD, Majumder K, Schmid M, Peabody JO, Preston MA, Kibel AS, Menon M, Trinh QD. The effect of body mass index on perioperative outcomes after major surgery: Results from the national surgical quality improvement program (ACSNSQIP) 2005-2011. World J Surg. Jun 10 2015 PMID: 26059407. Sood A, Abdollah F, Sammon JD, Peabody JO, Bhandari M, Menon M. Predicating pathologic outcomes in patients undergoing robot-assisted radical prostatectomy for high risk prostate cancer: A preoperative nomogram. Indian J Urol. 2015;31:S51. PMID: Sood A, Abdullah NM, Abdollah F, Abouljoud MS, Trinh QD, Menon M, Sammon JD. Rates of kidney transplantation from living and deceased donors for blacks and whites in the United States, 1998 to 2011. JAMA Intern Med. Aug 31 2015 PMID: 26322565. Sood A, Ghosh P, Jeong W, Khanna S, Das J, Bhandari M, Kher V, Ahlawat R, Menon M. Minimally invasive kidney transplantation: Perioperative considerations and key 6-month outcomes. Transplantation. Jan 20 2015 PMID: 25606784. Sood A, Ghosh P, Menon M, Jeong W, Bhandari M, Ahlawat R. Robotic renal transplantation: Current status. Journal of minimal access surgery. Jan-Mar 2015;11(1):3539. PMID: 25598597. Sood A, Jeong W, Ahlawat R, Abdollah F, Sammon JD, Bhandari M, Menon M. Minimally invasive renal autotransplantation. J Surg Oncol. May 20 2015 PMID: 25995142. Sood A, Jeong W, Ahlawat R, Campbell L, Aggarwal S, Menon M, Bhandari M. Robotic surgical skill acquisition: What one needs to know? Journal of minimal access surgery. JanMar 2015;11(1):10-15. PMID: 25598593. Sood A, Jeong W, Barod R, Bahnson E, Kirura P, Abdollah F, Bhandari M, Bahnson R, Menon M. Robot-assisted hepatic mobilization and control of suprahepatic infradiaphragmatic inferior vena cava for level 3 vena caval thrombectomy: An IDEAL stage 0 study. J Surg Oncol. Aug 11 2015 PMID: 26265131. 215 139. 140. 141. 142. 143. 144. 145. 146. 147. 148. 149. 150. Sood A, McCulloch P, Dahm P, Ahlawat R, Jeong W, Bhandari M, Menon M. Ontogeny of a surgical technique: Robotic kidney transplantation with regional hypothermia. International journal of surgery (London, England). Dec 21 2015 PMID: 26718609. Sood A, Menon M, Hirst A, McCulloch P, Ghani KR. Hey, I just did a better operation! Toward an ideal innovation model. Ann Surg. Jun 15 2015 PMID: 26079919. Sood A, Penna FJ, Eleswarapu S, Pucheril D, Klett DE, Abd-El-Barr AER, Abdollah F, Lakshmanan Y, Menon M, Trinh QD, Sammon JD, Elder JS. Incidence, admission rates and economic burden of pediatric emergency department visits for urinary tract infection. European Urology, Supplements. 2015;14(2):e503-e503a. PMID: Not assigned. Sood A, Rohde J, Van Winkle M, Hemal A, Peabody JO, Menon M, Ghani KR. Robotic anatrophic nephrolithotomy using near infra-red fluorescence image-guidance: Idea, Development, Exploration, Assessment and Long-term monitoring (IDEAL) phase 0 study. European Urology, Supplements. 2015;14(2):e978-e978a. PMID: Not assigned. Sood A, Sammon JD, Abdollah F, Klett DE, Pucheril D, Friedman AA, Peabody JO, Menon M, Trinh QD, Elder JS. Incidence, national trends and disparities in the surgical management for testicular torsion in boys. European Urology, Supplements. 2015;14(2):e611-e611a. PMID: Not assigned. Suardi N, Gandaglia G, Dell'Oglio P, Abdollah F, Passoni N, Capitanio U, Bianchi M, Shariat SF, Karakiewicz PI, Guazzoni G, Montorsi F, Briganti A. Biochemical recurrence after radical prostatectomy: Who is at risk of dying from prostate cancer? European Urology, Supplements. 2015;14(2):e451. PMID: Not assigned. Sukumar S, Ravi P, Sood A, Gervais MK, Hu JC, Kim SP, Menon M, Roghmann F, Sammon JD, Sun M, Trinh VQ, Trinh QD. Racial disparities in operative outcomes after major cancer surgery in the United States. World J Surg. Mar 2015;39(3):634-643. PMID: 25409836. Sun M, Abdollah F. Re: Ar-v7 and resistance to enzalutamide and abiraterone in prostate cancer. Eur Urol. Jul 2015;68(1):162-163. PMID: 26088731. Suson KD, Wolfe-Christensen C, Elder JS, Lakshmanan Y. National practice patterns and outcomes of pediatric nephrectomy: Comparison between urology and general surgery. The Journal of urology. Mar 25 2015 PMID: 25817140. Suson KD, Wolfe-Christensen C, Elder JS, Lakshmanan Y. Practice patterns and outcomes of pediatric partial nephrectomy in the United States: Comparison between pediatric urology and general pediatric surgery. J Pediatr Urol. May 21 2015 PMID: 26052003. Tjionas GA, Epstein JI, Williamson SR, Diaz M, Menon M, Peabody JO, Gupta NS, Parekh DJ, Cote RJ, Jorda M, Kryvenko ON. Average weight of seminal vesicles: An adjustment factor for radical prostatectomy specimens weighed with seminal vesicles. Int J Surg Pathol. Aug 25 2015 PMID: 26306700. 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National rates and risk factors for stent failure after successful insertion in patients with obstructed, infected upper tract stones. Can Urol Assoc J. Mar-Apr 2015;9(34):E164-171. PMID: 26085874. Varda BK, McNabb-Baltar J, Sood A, Ghani KR, Kibel AS, Letendre J, Menon M, Sammon JD, Schmid M, Sun M, Trinh QD, Bhojani N. Urolithiasis and urinary tract infection among patients with inflammatory bowel disease: A review of US emergency department visits between 2006 and 2009. Urology. Feb 7 2015 PMID: 25669736. Volpe A, Blute ML, Ficarra V, Gill IS, Kutikov A, Porpiglia F, Rogers C, Touijer KA, Van Poppel H, Thompson RH. Renal ischemia and function after partial nephrectomy: A collaborative review of the literature. Eur Urol. Feb 19 2015 PMID: 25703575. Wang RX, Chu CY, Nissen NN, Lewis MS, Palanisamy N, Edderkaoui M, Annamalai A, Lewis S, Zhau HE, Pandol SJ, Chung LWK. Novel patient-derived ctc-xenograft models for the study of pancreatic cancer biology, metastasis and therapy. Pancreas. Nov 2015;44(8):1423-1423. PMID: Not assigned. Williamson S, Hornick J, Eble J, Gupta N, Rogers C, True L, Grignon D, Cheng L. Renal cell carcinoma with angioleiomyoma-like stroma: Exploring SDHB protein immunohistochemistry and the relationship to tuberous sclerosis complex. Lab Invest. 2015;95:267A. PMID: Not assigned. Williamson SR, Gupta N, Eble J, Rogers C, Michalowski S, Zhang S, Wang M, Grignon D, Cheng L. Clear cell renal cell carcinoma with borderline features of clear cell papillary renal cell carcinoma: Combined morphologic, immunohistochemical, and cytogenetic analysis. Lab Invest. 2015;95:267A. PMID: Not assigned. Wilson TG, Guru K, Rosen RC, Wiklund P, Annerstedt M, Bochner BH, Chan KG, Montorsi F, Mottrie A, Murphy D, Novara G, Peabody JO, Palou Redorta J, Skinner EC, Thalmann G, Stenzl A, Yuh B, Catto J. Best practices in robot-assisted radical cystectomy and urinary reconstruction: Recommendations of the pasadena consensus panel. Eur Urol. Jan 9 2015 PMID: 25582930. Wu M, Kim SH, Datta I, Levin A, Dyson G, Li J, Kaypee S, Swamy MM, Gupta N, Kwon HJ, Menon M, Kundu TK, Reddy GP. Hydrazinobenzoylcurcumin inhibits androgen receptor 217 161. activity and growth of castration-resistant prostate cancer in mice. Oncotarget. Jan 31 2015 PMID: 25704883. Zargar H, Allaf ME, Bhayani S, Stifelman M, Rogers C, Ball MW, Larson J, Marshall S, Kumar R, Kaouk JH. Trifecta and optimal perioperative outcomes of robotic and laparoscopic partial nephrectomy in surgical treatment of small renal masses: a multi-institutional study. BJU international. Sep 2015;116(3):407-414. PMID: 25220543. 218